Individual
MR. BRENT AUSTIN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-C
Contact information
Practice address
3523 PELHAM RD, SUITE C, GREENVILLE, SC 29615-4191
(864) 306-0966
(864) 306-0966
Mailing address
P.O. BOX 14611, GREENVILLE, SC 29610-4611
(864) 306-0966
(864) 306-2544
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
22267
SC
Other
Enumeration date
10/01/2018
Last updated
12/23/2021
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