10D0950695 CLIA NUMBER - VICKIE N HARRELL MD

Laboratory Demographics

CLIA Number: 10D0950695

Facility Name: VICKIE N HARRELL MD

Facility Address:
292 FOREST PARK CIRCLE
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 913-0018

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730155060

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 10D0950695
LAB Type Physician Office
Facility Name VICKIE N HARRELL MD
Street 292 FOREST PARK CIRCLE
City PANAMA CITY
State FL
ZIP 32405
Phone 850 913-0018
CertificateType 4
CertificateEffectiveDate 9/8/2022
CertificateExpirationDate 9/7/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024