Doctor Name: | CHARLES W. HARRIS |
NPI Number: | 1134191273 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 96-00938 |
Business Practice Address: | 694 Riverside Dr Mount Airy, NC - 270303117 |
Business Phone Number: | 3367197892 |
Business Fax Number: | 3367197898 |
Mailing Address: | Po Box 60447, CHARLOTTE |
State: | NC |
Postal Code: | 282600447 |
Phone Number: | 7043847840 |
Fax Number: | 7043847830 |
NPI Enumeration Date: | 02/03/2006 |
NPI Last Update Date: | 08/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 96-00938 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |