# JEFFREY L. HARRIS, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wayne Obstetrics and Gynecology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285696112
- **Authorized official:** MRS. ANTONIA BROOKE HARRIS CSW (EXECUTIVE OFFICE MANAGER)
- **Authorized official phone:** (912) 530-7301

## Contact information

- **Practice address:** 371 PEACHTREE ST, JESUP, GA 31545-0245
- **Practice address phone:** (912) 530-7301
- **Practice address fax:** (912) 530-7302
- **Mailing address:** PO BOX 604, JESUP, GA 31598-0604
- **Mailing address phone:** (912) 530-7301
- **Mailing address fax:** (912) 530-7302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 024255 | GA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 024255 | GA | Yes |

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 11/01/2011