Provider Demographics
NPI:1730197435
Name:HARMON, TOMIA PALMER (MD)
Entity type:Individual
Prefix:DR
First Name:TOMIA
Middle Name:PALMER
Last Name:HARMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TOMIA
Other - Middle Name:ESPERANZA
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, MD
Mailing Address - Street 1:1267 HIGHWAY 54 W
Mailing Address - Street 2:SUITE 5200
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-2114
Mailing Address - Country:US
Mailing Address - Phone:770-719-5609
Mailing Address - Fax:678-817-4361
Practice Address - Street 1:1267 HIGHWAY 54 W
Practice Address - Street 2:SUITE 5200
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-2114
Practice Address - Country:US
Practice Address - Phone:770-719-5609
Practice Address - Fax:678-817-4361
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047819207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH41564Medicare UPIN