Provider Demographics
NPI:1053392795
Name:HARNEY, RODNEY WAYNE (MD)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:WAYNE
Last Name:HARNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2828 HIGHWAY 31 S
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-1538
Mailing Address - Country:US
Mailing Address - Phone:256-351-9382
Mailing Address - Fax:256-351-9259
Practice Address - Street 1:2828 HIGHWAY 31 S
Practice Address - Street 2:SUITE 102
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-1538
Practice Address - Country:US
Practice Address - Phone:256-351-9382
Practice Address - Fax:256-351-9259
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL12132207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51018427OtherBCBSAL PROVIDER NUMBER
ALC72333Medicare UPIN