Individual
SAMUEL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
200 MISSISSIPPI ST # 30, NEW ALBANY, MS 38652-4140
(662) 538-7631
Mailing address
306 LIBERTY VIEW LN, LYNCHBURG, VA 24502-2291
(407) 921-7450
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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