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Individual

CORY LYNN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
5720 1ST AVE S, BIRMINGHAM, AL 35212-2522
(205) 380-9455
Mailing address
5825 LAKEVIEW CIR, BIRMINGHAM, AL 35210-4437
(256) 239-7807

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005807
NC

Other

Enumeration date
09/13/2012
Last updated
03/15/2015
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