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JEFFREY L. HARRIS MD PC NPI 1285696112


NPI Information

NPI: 1285696112
Provider Name: JEFFREY L. HARRIS, MD, PC

Doing Business As: WAYNE OBSTETRICS AND GYNECOLOGY

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 11D1014701

Address:
371 PEACHTREE ST
JESUP, GA
ZIP 31545
Phone: (912) 530-7301
Get Directions

JEFFREY L. HARRIS, MD, PC is an obstetrics gynecology in Jesup, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. JEFFREY L. HARRIS, MD, PC NPI is 1285696112. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wayne Obstetrics And Gynecology.

The provider's business location address is:

371 PEACHTREE ST
JESUP, GA
ZIP 31545-245
Phone: (912) 530-7301
Fax: (912) 530-7302

The provider's authorized official is Antonia Brooke Harris .
The authorized official title is Executive Office Manager and has the following contact phone number (912) 530-7301.

The CLIA number assigned to this NPI record is 11D1014701 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/5/2006 and was last updated on 11/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine024255GEORGIANo
2207V00000XObstetrics & Gynecology024255GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1301000006AMEDICAIDGEORGIA
2000815889CMEDICAIDGEORGIA
3G95055MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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