Individual
FELICIA DENISE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15 EXCHANGE DR, LUGOFF, SC 29078-9198
(803) 424-2200
(803) 408-8608
Mailing address
1512 BALDWIN RD, LUGOFF, SC 29078-9606
(803) 549-2155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21679
SC
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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