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NPI Code Detail

MEDICARE: MRS. REBEKAH ALICIA HARRIS PA-C

MEDICARE: MRS. REBEKAH ALICIA 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 AssistantAZ

General Provider Information

NPI Number : 1891273348
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBEKAH ALICIA HARRIS PA-C
Provider Business Mailing Address
First Line : 540 SAINT ALBANS DR APT 400
Second Line :
City : RALEIGH
State : NC
Zip : 27609-2205
Country : US
Telephone Number : 602-573-9419
Fax Number :
Provider Business Practice Location Address
First Line : 1705 TARBORO ST SW
Second Line :
City : WILSON
State : NC
Zip : 27893-3437
Country : US
Telephone Number : 252-399-8895
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2018
Last Update Date : 06/18/2025

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Directions to “ MRS. REBEKAH ALICIA HARRIS PA-C” Practice Location

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