# JACQUELINE HARRIS, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215422043
- **Authorized official:** JACQUELINE HARRIS MD (OWNER)
- **Authorized official phone:** (843) 422-4413

## Contact information

- **Practice address:** 107 SEAGRASS STATION RD, BLUFFTON, SC 29910-3110
- **Practice address phone:** (836) 843-8200
- **Practice address fax:** (843) 836-8595
- **Mailing address:** PO BOX 14624, SAVANNAH, GA 31416-1624
- **Mailing address phone:** (843) 422-4413
- **Mailing address fax:** (866) 848-1697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2018
- **Last updated:** 06/25/2018