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Individual

MR. JOHN CHARLES HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9848 N TRYON ST, CHARLOTTE, NC 28262-5512
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
21412
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89015XT
NC
Enumeration date
08/25/2005
Last updated
08/30/2010
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