Individual
BOBBY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 E DONALD ST STE 3, QUITMAN, MS 39355-2310
(601) 830-5757
(601) 840-6003
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903407
MS
Other
Enumeration date
10/14/2019
Last updated
01/17/2026
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