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Individual

MATTHEW HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
40023 CROSS CREEK DR, HAMILTON, MS 39746
(662) 343-5299
(662) 343-8456
Mailing address
40023 CROSS CREEK DR, HAMILTON, MS 39746-8801
(662) 343-5299
(662) 343-8456

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902320
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
902320
FNP LICENSE
MS
Enumeration date
09/18/2017
Last updated
05/16/2018
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