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Individual

RALPH SCOTT HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
12 OFFICE PARK DR, JACKSONVILLE, NC 28546-7325
(910) 353-9002
(910) 353-9003
Mailing address
4901 ATLANTIC DR, MOREHEAD CITY, NC 28557-2681
(252) 622-4572

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO02491
222Z00000X
Orthotist
224P00000X
Prosthetist
CPO02491
224P00000X
Prosthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7795480
NC
Enumeration date
08/19/2010
Last updated
04/05/2022
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