Individual
MRS. TERRY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S CHURCH ST, SUITE 144, ROCKY MOUNT, NC 27804-5755
(252) 454-0404
(252) 454-0405
Mailing address
1121 S CAMBRIDGE CIR, SUITE 144, ROCKY MOUNT, NC 27801-7444
(252) 454-0404
(252) 454-0405
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3103
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408698
—
NC
05
—
6601330
—
NC
Enumeration date
12/18/2007
Last updated
12/20/2007
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