DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HARRISON MATTHEW FUQUA, MD

Active

HARRISON MATTHEW FUQUA, MD is a Family Medicine healthcare provider located in MARIANNA, Florida. NPI 1972152791 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MARIANNA, FL

Registration Details

NPI Number
1972152791
Provider Type
Individual
Gender
Male
NPI Issued
Sep 4, 2019 (6.9397901200664 yrs)
Last Updated
Nov 22, 2022
Licenses
DO.2441 (AL)
OS18974 (FL)

Practice Information

Address
4284 KELSON AVE
MARIANNA, FL, 324462948
Browse FL providers · Browse ZIP 32446
Phone
8504822910
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in MARIANNA, FL

Name Credential NPI
RICHARD C GOFF M.D. 1295713659
MARK R AKERSON MD 1699720367
JOHN A. SPENCE M. D. 1497794796
DR. CHARLES G. APONTE M.D. 1790882041
MR. CHINH C NONG MD 1124188073
VAL SHEFFIELD M.D. 1477605129
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.