Individual
MARK HAMPTON HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
180 PARKWOOD DR, ELKIN, NC 28621-2430
(336) 527-7472
(336) 835-8752
Mailing address
2654 VIENNA DOZIER RD, PFAFFTOWN, NC 27040-8457
(336) 945-4130
(336) 945-4130
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
101659
NC
363A00000X
Physician Assistant
101659
NC
363AM0700X
Medical Physician Assistant
Primary
101659
NC
Other
Enumeration date
03/28/2006
Last updated
10/29/2020
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