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Individual

DR. RODNEY HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 606-0724
Mailing address
732 EDEN WAY NORTH, SUITE E, #121, CHESAPEAKE, VA 23320
(757) 606-0724

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1000014
DC
213ES0131X
Foot Surgery Podiatrist
PO1000014
DC
313M00000X
Nursing Facility/Intermediate Care Facility
PO1000014
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037494400
DC
01
3724
BLUECROSS / BLUESHIELD
DC
01
5268
ELDER HEALTH
DC
01
5412763
CIGNA
DC
Enumeration date
01/28/2006
Last updated
12/04/2020
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