# HARRIS FAMILY PRACTICE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HARRIS FAMILY PRACTICE PLLC
- **Other names:** Harris Family Practice at Angel Exchange
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104083500
- **Legal business name:** HARRIS FAMILY PRACTICE PLLC
- **Authorized official:** DR. GLENN R. HARRIS MD (PRESIDENT)
- **Authorized official phone:** (910) 272-6422

## Contact information

- **Practice address:** 201 EAST LIVERMORE DRIVE, PEMBROKE, NC 28372-7271
- **Practice address phone:** (910) 272-6422
- **Mailing address:** 201 EAST LIVERMORE DRIVE, PEMBROKE, NC 28372-7271
- **Mailing address phone:** (910) 272-6422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9300142 | NC | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 05/22/2008