Individual
MR. WILBERT HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1945 BRUSHY RD, CENTERVILLE, TN 37033-4509
(931) 729-2799
(931) 729-4744
Mailing address
1945 BRUSHY RD, CENTERVILLE, TN 37033-4509
(931) 729-2799
(931) 729-4744
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T000182
—
TN
Enumeration date
01/31/2007
Last updated
07/08/2007
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