Individual
MRS. ELIZABETH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 TATE RD, COLDWATER, MS 38618-3795
(662) 562-6868
Mailing address
215 TATE ROAD, COLDWATER, MS 38618
(662) 562-6868
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
MS
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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