Individual
JEFFREY PEDEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1440 AMHERST STREET, WINCHESTER, VA 22601-3010
(540) 450-3339
(540) 450-3338
Mailing address
1440 AMHERST STREET, WINCHESTER, VA 22601-3010
(540) 450-3339
(540) 450-3338
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101025214
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740291772
—
VA
Enumeration date
08/11/2006
Last updated
09/19/2012
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