Individual
DR. ASHLEY WAYNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-5930
Mailing address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-5930
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
20408
MS
207QG0300X
Geriatric Medicine (Family Medicine) Physician
242928
MA
Other
Enumeration date
09/20/2008
Last updated
02/10/2012
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