Healthcare Provider Details

I. General information

NPI: 1144569435
Provider Name (Legal Business Name): ERIKA M. HARRIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2013
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1769 JAMESTOWN RD STE 101
WILLIAMSBURG VA
23185-2310
US

IV. Provider business mailing address

1769 JAMESTOWN RD STE 101
WILLIAMSBURG VA
23185-2310
US

V. Phone/Fax

Practice location:
  • Phone: 757-719-9039
  • Fax: 866-432-1706
Mailing address:
  • Phone: 910-850-8636
  • Fax: 866-432-1706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0110003903
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110003903
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: