Individual
JEFFREY DEAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142 MILESTONE WAY, GREENVILLE, SC 29615-5065
(864) 558-0092
(855) 269-6611
Mailing address
142 MILESTONE WAY, GREENVILLE, SC 29615-5065
(864) 558-0092
(855) 269-6611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30517
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305173
—
SC
Enumeration date
06/27/2007
Last updated
07/20/2022
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