Dr. Jerry Wayne Harris
Podiatrist
5323 Fox Cove Ln U
Greensboro
, North Carolina 27407-5961
Dr. Jerry Wayne Harris
Podiatrist
5323 Fox Cove Ln U
Greensboro
, North Carolina 27407-5961
(336) 638-3700
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Jerry Wayne Harris
- Po Box 39721
- Greensboro, NC
- Zip : 27438-9721
- Phone : (336) 638-3700
Second Address
- Dr. Jerry Wayne Harris
- 5323 Fox Cove Ln U
- Greensboro, NC
- Zip : 27407-5961
- Phone : (336) 638-3700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 326 | NC |
| Y | 222Z00000X | Podiatrist | 326 | NC |
National Provider Identifier
| NPI | 1013953876 |
|---|---|
| Provider Name | Dr. Jerry Wayne Harris |
| First Address | Greensboro, NC 27438-9721 |
| Second Address | Greensboro, NC 27407-5961 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 890808E | (05) | NC |
| U23707 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.