Provider Demographics
NPI:1467433441
Name:HARMAN, JEFFERSON HOPKINS JR (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFERSON
Middle Name:HOPKINS
Last Name:HARMAN
Suffix:JR
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 OLD SPANISH TRL
Mailing Address - Street 2:
Mailing Address - City:GAUTIER
Mailing Address - State:MS
Mailing Address - Zip Code:39553-6000
Mailing Address - Country:US
Mailing Address - Phone:228-205-7700
Mailing Address - Fax:228-205-7715
Practice Address - Street 1:2105 OLD SPANISH TRL
Practice Address - Street 2:
Practice Address - City:GAUTIER
Practice Address - State:MS
Practice Address - Zip Code:39553-6000
Practice Address - Country:US
Practice Address - Phone:228-205-7700
Practice Address - Fax:228-205-7715
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 78679207Q00000X
MS24199207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1467433441OtherNPPES