Individual
MRS. JANICE T HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2607 E 7TH ST, CHARLOTTE, NC 28204-4307
(704) 372-3714
(704) 333-4601
Mailing address
7000 SHANNON WILLOW RD, CHARLOTTE, NC 28226-1318
(704) 927-7300
(704) 927-7301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463PA
—
SC
01
—
1238PA
BCBS
—
Enumeration date
12/12/2005
Last updated
04/30/2010
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