person
Larry Gene Harris, PA
Surgical Physician Assistant in Charleston, South Carolina
NPI 1538197306

Larry Gene Harris is a Surgical Physician Assistant based in Charlotte, SC and is specialized in Surgical. Larry Gene Harris practices in Charleston, SC and has the professional credentials of PA. The NPI Number for Larry Gene Harris is 1538197306 and holds a License No. A751 (South Carolina).

The current practice location address for Larry Gene Harris is 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC and can be reached out via phone at 843-723-8823 and via fax at 843-606-8059.

Location: 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC, 28275-1649
person
Provider Profile Details
NPI Number
1538197306
Provider Name
Larry Gene Harris
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2145 Henry Tecklenburg Dr Ste 220, Charleston, SC, 28275-1649
Phone Number
843-723-8823
Fax Number
843-606-8059
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0058PA 05 SC
institution
Provider Business Practice Location Address Details
Address
2145 Henry Tecklenburg Dr Ste 220
City
State
Zip
29414-5894
Phone Number
843-723-8823
Fax Number
843-606-8059
person
Provider Business Mailing Address Details
Address
2145 Henry Tecklenburg Dr Ste 220
City
State
Zip
29414-5894
Phone Number
843-723-8823
Fax Number
843-606-8059
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
(South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
A751 (South Carolina)
Definition
Definition to come...
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