Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 30516 | SC |
NPI | 1043421159 |
---|---|
Provider Name | Danielle Thompson Harris |
First Address | Greenville, SC 29615-4545 |
Second Address | Greer, SC 29650-2457 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 16/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
305164 | (05) | SC |