Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERY DAVID HARRIS
Active Sole ProprietorJEFFERY DAVID HARRIS is a Contractor healthcare provider located in DALZELL, South Carolina. NPI 1568223683 is currently active in the NPPES registry. Verify at CMS.
Contractor · DALZELL, SC
Registration Details
- NPI Number
- 1568223683
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2024 (2.5683932312881 yrs)
- Last Updated
- Jan 16, 2024
- License
-
CA014071 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3455 CRESTVIEW RDDALZELL, SC, 290409323Browse SC providers · Browse ZIP 29040
- Phone
- 8032367465
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.