Provider Demographics
NPI:1215926423
Name:HARPER, JANAY LATASHIA
Entity type:Individual
Prefix:DR
First Name:JANAY
Middle Name:LATASHIA
Last Name:HARPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1038
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-1038
Mailing Address - Country:US
Mailing Address - Phone:601-859-0484
Mailing Address - Fax:601-601-8590
Practice Address - Street 1:156 RIVER OAKS DR STE B
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046-5376
Practice Address - Country:US
Practice Address - Phone:601-859-0484
Practice Address - Fax:601-859-0486
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS80186213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist