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Laurence Orin Franklin Harris

Internal Medicine

Allopathic & Osteopathic Physicians

743 Spring St NE, Gainesville, GA 30501-3715

PECOS Enrollment

This provider is enrolled in PECOS as LAURENCE HARRIS.

Based on the most recent information from CMS, provider Laurence Orin Franklin Harris is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1447348222
Provider Type
Individual
Full Name
Harris, Laurence Orin Franklin
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/10/2006
Last Updated
11/10/2015

Contact Information

Practice Location

743 Spring St NE, Gainesville, GA 30501-3715

(770) 533-6645

(770) 535-2642

Mailing Location

PO Box 658, Gainesville, GA 30503-0658

(770) 718-1122

(770) 535-7445

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 40918 Georgia
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 040918 Georgia

Provider Identifiers

ID	Description	Issuer
ID 000691633K	Description Other	Issuer PEACH STATE
ID 52778931	Description Other	Issuer BCBS Georgia
ID P00450143	Description Other	Issuer MEDICARE RAILROAD Georgia
ID 341523	Description Other	Issuer WELLCARE Georgia
ID 000691633K	Description Medicaid	Issuer Unlisted Georgia
ID 01071252	Description Other	Issuer AMERIGROUP Georgia
ID 5581447	Description Other	Issuer AETNA Georgia
ID 6638860	Description Other	Issuer CIGNA Georgia

Laurence Orin Franklin Harris

PECOS Enrollment

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