Organization
HARRIS FAMILY PRACTICE PLLC
Active
Parent organization
HARRIS FAMILY PRACTICE PLLC
Other names
Harris Family Practice at Angel Exchange
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARRIS FAMILY PRACTICE PLLC
Authorized official
DR. GLENN R. HARRIS MD (PRESIDENT)
(910) 272-6422
Entity
Organization
Contact information
Practice address
201 EAST LIVERMORE DRIVE, PEMBROKE, NC 28372-7271
(910) 272-6422
Mailing address
201 EAST LIVERMORE DRIVE, PEMBROKE, NC 28372-7271
(910) 272-6422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9300142
NC
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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