Individual
MR. XAVIER ALFRED HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
9930 KINCEY AVE STE 165, HUNTERSVILLE, NC 28078-6541
(704) 947-5005
(877) 881-8455
Mailing address
9930 KINCEY AVE STE 165, HUNTERSVILLE, NC 28078-6541
(704) 947-5005
(877) 881-8455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
102590
NC
363AM0700X
Medical Physician Assistant
Primary
102590
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A3120
MEDCOST
NC
Enumeration date
06/30/2006
Last updated
08/27/2021
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