Harris, Jeffrey Lee
Harris, Jeffrey Lee is an individual health care provider with primary practice located at 371 Peachtree St , Jesup GA 31545-0245. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Harris, Jeffrey Lee can be contacted via phone (912) 530-7301.Contact Information
Primary practice address
371 Peachtree St
Jesup GA 31545-0245
Phone: (912) 530-7301
Fax: (912) 530-7302
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 024255 | Georgia |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | C2486 | Kentucky |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 024255 | Georgia |
Profile Details
NPI number | 1801850094 |
---|---|
LBN Legal business name | Harris, Jeffrey Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2006 |
Last updated | May 22nd, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801850094 | NPPES |
Georgia | MEDICAID | 301000006A | |
Georgia | MEDICAID | 00815889C |
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