Alan M. Harben M.D. PHD PC
Organization Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Roswell, GA
NPI 1174733745 · NPPES record last updated Feb 24, 2010
Key facts
- NPI
- 1174733745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
- License
- 029664 (GA)
- Legal business name
- ALAN M. HARBEN M.D. PHD PC
- Practice address
- 11775 Pointe PL Ste 103
Roswell, GA 30076-4652 - Phone
- (678) 838-1585
- NPI assigned
- May 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Alan M Harben, MD
- Title
- Owner/Physician
- Phone
- (770) 619-0010
Corporate family (same tax ID) 1
Practitioners 2
-
Alan M Harben, M.D.,PHD
-
Jessica Jill Mahoney, SLP-CCC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040930000529 | GA | Part B Supplier - Clinic/Group Practice | 9032188552 |
Receives reassigned benefits from 1 practitioner Practice locations: Roswell, GA |
National Provider Directory
- Tax ID family
- Alan M Harben MD PHD
Locations
3215 McClure Bridge Rd
Duluth, GA 30096
Phone (678) 312-6000
11180 Crabapple Rd
Roswell, GA 30075
Phone (678) 277-9275
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician |
2081P2900X | 029664 | GA | Yes |
Addresses
Primary practice location
11775 Pointe PL Ste 103
Roswell, GA 30076-4652
Mailing address
PO Box 724928
Atlanta, GA 31193-9028
Phone (678) 838-1585
Other providers in Roswell, GA
- Emoni Aikens
- Fantoya Akins
- Olajumoke Akinyele
- Rabiul Alam
- Alan M Harben MD PHD
- Jeffrey J Albert
- Peter Alexander
- Tajarae Alexander
- Align Services Roswell, LLC
- Align Spine and Pain Institute LLC
All providers in Roswell, GA · Pain Medicine (Physical Medicine & Rehabilitation) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.