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Individual

DR. ANDY TRENT HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
607 S CHURCH ST, SMITHFIELD, VA 23430-1740
(757) 357-5400
(757) 357-0657
Mailing address
607 S CHURCH ST, SMITHFIELD, VA 23430-1740
(757) 357-5400
(757) 357-0657

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000590
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
057742
ANTHEM BLUE CROSS
VA
01
100353600
AMERICAN SPECILITY HEALTH
VA
01
541502583
UNITED HEALTHCARE
VA
Enumeration date
09/09/2005
Last updated
12/07/2007
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