Provider Demographics
NPI:1306153648
Name:HARRIS, WILLIAM BENNETT (PA-C)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BENNETT
Last Name:HARRIS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 CLAYTON ST STE 201
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2423
Mailing Address - Country:US
Mailing Address - Phone:704-614-3795
Mailing Address - Fax:
Practice Address - Street 1:41 CLAYTON ST STE 201
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2423
Practice Address - Country:US
Practice Address - Phone:704-614-3795
Practice Address - Fax:828-656-5013
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-10919363A00000X, 363A00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program