NPI 1083864334

Gregory Mark Harris

Practitioner Home Modifications Contractor Warrenton, VA

Practice location

Address: 6248 Ghadban CT, Warrenton, VA 20187-7945
Phone: (703) 887-0072
Fax: (540) 428-3724
Mailing address: PO Box 480, Marshall, VA 20116-0480

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence 2705 012901 (VA)

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Registry record

NPI: 1083864334
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2008
Record last updated: 23 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.