Harris, Portia M

Harris, Portia M is an individual health care provider with primary practice located at 104 Millsaps Dr , Hattiesburg MS 39402-1328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Harris, Portia M can be contacted via phone (601) 288-7500.

Contact Information

Primary practice address
104 Millsaps Dr Hattiesburg MS 39402-1328
Phone: (601) 288-7500
Fax: (601) 268-5179
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 20212 Mississippi

Profile Details

NPI number 1669662292
LBN Legal business name Harris, Portia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Jul 22nd, 2020 - about 5 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669662292 NPPES
Mississippi Other 9730184 AETNA
Mississippi MEDICAID 1058289 AETNA
Mississippi MEDICAID 030152720 AETNA

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