Elizabeth Harris
Individual provider Active NPI Driver · Coldwater, MS
NPI 1679930002 · NPPES record last updated Jan 15, 2016
Key facts
- NPI
- 1679930002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 215 Tate Rd
Coldwater, MS 38618-3795 - Phone
- (662) 562-6868
- NPI assigned
- Jan 15, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Angel Transportation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | MS | Yes |
Addresses
Primary practice location
215 Tate Rd
Coldwater, MS 38618-3795
Mailing address
215 Tate Road
Coldwater, MS 38618
Phone (662) 562-6868
Other providers in Coldwater, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.