Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 2006-01760 | NC |
NPI | 1003963141 |
---|---|
Provider Name | Katarina Harris |
First Address | Greenville, SC 29601-3971 |
Second Address | Greenville, SC 29601-3971 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 11/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
144MN | BCBS OF NC (01) | NC |
195314 | MEDCOST (01) | NC |
296478 | (05) | SC |
5905647 | (05) | NC |
I70316 | (02) |