Individual provider · Type 1 NPI

Larry Gene Harris, PA

Surgical Physician Assistant · Charleston, SC

NPI number 1538197306 Active

Practice location

2145 Henry Tecklenburg Dr Ste 220
Charleston, SC 29414-5894

Call (843) 723-8823 Map

Fax (843) 606-8059

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XA751 (SC)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1538197306

Larry Gene Harris, PA's National Provider Identifier is 1538197306, issued on Jun 29, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Charleston, SC. The record was last updated on Dec 13, 2019.