Harris, Larry Gene

Harris, Larry Gene is an individual health care provider with primary practice located at 2145 Henry Tecklenburg Dr Ste 220 , Charleston SC 29414-5894. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Harris, Larry Gene can be contacted via phone (843) 723-8823.

Contact Information

Primary practice address
2145 Henry Tecklenburg Dr Ste 220 Charleston SC 29414-5894
Phone: (843) 723-8823
Fax: (843) 606-8059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X A751 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X South Carolina

Profile Details

NPI number 1538197306
LBN Legal business name Harris, Larry Gene
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Dec 13th, 2019 - about 7 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 1538197306 NPPES
South Carolina MEDICAID 0058PA

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