Individual
PROPHETT HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 421-0847
Mailing address
3230 BERGEN ST, CHARLOTTESVILLE, VA 22902-6248
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86358474
VA
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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