Individual
MR. CARL CHRIS HARRIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
102 S 1ST ST, JESUP, GA 31545-1171
(912) 588-1035
(912) 588-7016
Mailing address
102 S 1ST ST, JESUP, GA 31545-1171
(912) 588-1035
(912) 588-7016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13029
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13029
STATE PHARMACIST LICENSE NUMBER
GA
Enumeration date
05/22/2010
Last updated
05/22/2010
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