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NPI Code Detail

MEDICARE: DAVID CHRISTOPHER HARRIS PA-C

MEDICARE: DAVID CHRISTOPHER HARRIS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1538724067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID CHRISTOPHER HARRIS PA-C
Provider Business Mailing Address
First Line : 2916 CLAIRMONT RD NE APT 1303
Second Line :
City : BROOKHAVEN
State : GA
Zip : 30329-4465
Country : US
Telephone Number : 601-596-2203
Fax Number :
Provider Business Practice Location Address
First Line : 1800 HOWELL MILL RD NW STE 200
Second Line :
City : ATLANTA
State : GA
Zip : 30318-0917
Country : US
Telephone Number : 404-352-1015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2019
Last Update Date : 07/02/2019

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Directions to “ DAVID CHRISTOPHER HARRIS PA-C” Practice Location

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