Individual
TELEMACHUS GIRARD HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
408 ALAMANCE RD STE D, BURLINGTON, NC 27215-6178
(336) 350-7858
(336) 350-9546
Mailing address
408 ALAMANCE RD STE D, BURLINGTON, NC 27215-6178
(336) 350-7858
(336) 350-9546
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
89355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21683
PROVIDER IDENTIFICATION
NC
Enumeration date
07/13/2021
Last updated
07/13/2021
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