| Reginna Harris | |
|
1246 Ashland Ave Zanesville OH 43701-2861 | |
| (740) 455-4923 | |
| Not Available |
| Full Name | Reginna Harris |
|---|---|
| Speciality | Clinic/center - Public Health, Federal |
| Location | 1246 Ashland Ave, Zanesville, Ohio |
| Authorized Official Name and Position | Gretchen Tyson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7404506147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reginna Harris 5720 Foxfire Dr Zanesville OH 43701-8136 Ph: (740) 607-3478 | Reginna Harris 1246 Ashland Ave Zanesville OH 43701-2861 Ph: (740) 455-4923 |
| NPI Number | 1235585159 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 05/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235585159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | COA19004-NP (Ohio) | Primary |
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