Provider Demographics
NPI:1679722094
Name:PALMER, JOAN HARRIS (MD)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:HARRIS
Last Name:PALMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4022 WINDSWEPT DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757
Mailing Address - Country:US
Mailing Address - Phone:256-489-9260
Mailing Address - Fax:
Practice Address - Street 1:4022 WINDSWEPT DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35757
Practice Address - Country:US
Practice Address - Phone:256-489-9260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4324207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine