Individual
MR. CHARLES R HARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6000 W HIGHWAY 98, NAVAL HOSPITAL, PENSACOLA, FL 32512-0001
(850) 505-6802
Mailing address
341 CAMBORNE PL, PENSACOLA, FL 32506-4921
(850) 455-0466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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