Individual
JESSE D HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4845 KNIGHTSBRIDGE BLVD, SUITE 100, COLUMBUS, OH 43214-2463
(614) 538-1249
(614) 538-1926
Mailing address
4845 KNIGHTSBRIDGE BLVD, SUITE 100, COLUMBUS, OH 43214-2463
(614) 538-1249
(614) 538-1926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-05-4198
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0693441
—
OH
Enumeration date
12/07/2005
Last updated
03/15/2011
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