MEDICARE: ERIKA M. 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
1	207R00000X	Internal Medicine Physician	0110003903	VA
2	363A00000X	Physician Assistant	0110003903	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144569435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA M. HARRIS PA-C

Provider Business Mailing Address
First Line	:	1769 JAMESTOWN RD STE 101
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-2310
Country	:	US
Telephone Number	:	910-850-8636
Fax Number	:	866-432-1706

Provider Business Practice Location Address
First Line	:	1769 JAMESTOWN RD STE 101
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-2310
Country	:	US
Telephone Number	:	757-719-9039
Fax Number	:	866-432-1706

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2013
Last Update Date	:	02/16/2024

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