Individual
KHALIL A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 802-0394
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(215) 817-3548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1198866
NCCPA ID
—
Enumeration date
10/31/2022
Last updated
08/09/2025
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