Individual
JARED STEPHEN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7364 RICHMOND RD, WILLIAMSBURG, VA 23188-7220
(757) 345-0011
(757) 345-0381
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102204483
VA
Other
Enumeration date
07/02/2013
Last updated
08/05/2016
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