Pj Harris | |
4000 Tuckaseegee Rd Charlotte NC 28208-2832 | |
(570) 523-5775 | |
(704) 749-8833 |
Full Name | Pj Harris |
---|---|
Speciality | Social Worker - Clinical |
Location | 4000 Tuckaseegee Rd, Charlotte, North Carolina |
Authorized Official Name and Position | Philip J Harris (CLINICAL DIRECTOR) |
Authorized Official Contact | 7575811619 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pj Harris 8531 Ridgeline Ln Charlotte NC 28269-8000 Ph: (757) 581-1619 | Pj Harris 4000 Tuckaseegee Rd Charlotte NC 28208-2832 Ph: (570) 523-5775 |
NPI Number | 1033630025 |
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Provider Enumeration Date | 06/29/2017 |
Last Update Date | 06/29/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033630025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P011662 (North Carolina) | Primary |
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