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NPI Code Detail

MEDICARE: DONNI E HARRIS PA-C

MEDICARE:   DONNI E 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
1363AM0700XMedical Physician Assistant50.002817RXOH
2363A00000XPhysician Assistant50.002817RXOH

General Provider Information

NPI Number : 1710138300
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNI E HARRIS PA-C
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-688-6475
Fax Number : 614-366-7560
Provider Business Practice Location Address
First Line : 543 TAYLOR AVE FL 2
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-1278
Country : US
Telephone Number : 614-688-6475
Fax Number : 614-366-7560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2008
Last Update Date : 03/18/2026

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Directions to “ DONNI E HARRIS PA-C” Practice Location

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