Individual
MS. MARGARET F HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
116 HILL POND LN, STATSBORO, GA 30458
(912) 489-1629
(912) 489-1630
Mailing address
116 HILL POND LN, STATSBORO, GA 30458
(912) 489-1629
(912) 489-1630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004047
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602328090A
—
IL
01
—
F400094218
NATIONAL GOVERNMENT SERVICES MEDICARE PTAN
IL
01
—
P01256004
RAILROAD MEDICARE PTAN
—
Enumeration date
03/20/2007
Last updated
04/15/2019
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