Provider Demographics
NPI:1255345088
Name:HARRISON, CHARLOTTE MILLS (CRNA)
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:MILLS
Last Name:HARRISON
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Gender:F
Credentials:CRNA
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Mailing Address - Street 1:2700 WAYNE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-9494
Mailing Address - Country:US
Mailing Address - Phone:919-731-6068
Mailing Address - Fax:919-731-6025
Practice Address - Street 1:2210 HEMBY LANE
Practice Address - Street 2:GASTROENTEROLOGY EAST, P.A.
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-551-3000
Practice Address - Fax:252-551-3100
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2015-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC158421367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered