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NPI Code Detail

MEDICARE: WHITNEY HARRIS

MEDICARE: WHITNEY HARRIS
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
1225100000XPhysical TherapistPT6306MS

General Provider Information

NPI Number : 1649829821
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY HARRIS
Provider Business Mailing Address
First Line : 2609 PALMER DR
Second Line :
City : GULFPORT
State : MS
Zip : 39507-2846
Country : US
Telephone Number : 919-519-5919
Fax Number :
Provider Business Practice Location Address
First Line : 2279 ATKINSON RD
Second Line :
City : BILOXI
State : MS
Zip : 39531-2209
Country : US
Telephone Number : 228-388-1805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2019
Last Update Date : 09/10/2019

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Directions to “ WHITNEY HARRIS ” Practice Location

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