| Harris Family Medicine, Pllc | |
|
630 W Court St Ste B Paragould AR 72450-4247 | |
| (870) 236-6911 | |
| Not Available |
| Full Name | Harris Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 630 W Court St Ste B, Paragould, Arkansas |
| Authorized Official Name and Position | Ryan Harris (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8702151601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harris Family Medicine, Pllc 630 W Court St Ste B Paragould AR 72450-4247 Ph: (870) 236-6911 | Harris Family Medicine, Pllc 630 W Court St Ste B Paragould AR 72450-4247 Ph: (870) 236-6911 |
| NPI Number | 1710530480 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 07/22/2019 |
| Medicare PECOS PAC ID | 4789913252 |
|---|---|
| Medicare Enrollment ID | O20190909001821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710530480 | NPI | - | NPPES |
| E-12415 | Other | AR | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Suzanne Bushong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417929316 PECOS PAC ID: 5395646095 Enrollment ID: I20040115001073 |
| Provider Name | Amy M Elms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518481589 PECOS PAC ID: 4688930837 Enrollment ID: I20171104000013 |
| Provider Name | Ryan H Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548611049 PECOS PAC ID: 7517255177 Enrollment ID: I20190909001948 |
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