Individual provider · Type 1 NPI

Madison Gray Harmon, PA-C

Surgical Physician Assistant · Roanoke, VA

NPI number 1871248807 Active

Practice location

3 Riverside Cir
Roanoke, VA 24016-4955

Fax (804) 320-1541

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice locations

  • 4720 Blue Ridge Tpke, Fincastle, VA 24090-4270 · (540) 958-0633
  • 1400 Linden Ave, Clifton Forge, VA 24422-1524 · (540) 958-0633

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X0110009078 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1871248807

Madison Gray Harmon, PA-C's National Provider Identifier is 1871248807, issued on Feb 17, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Roanoke, VA. The record was last updated on Apr 1, 2024.