Individual
CHARLES WALKER HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
186 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 277-2000
(336) 277-2050
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-2000
(336) 277-2050
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
96-00938
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010410771
—
VA
05
—
010411416
—
VA
05
—
1134191273
—
VA
01
—
1177C
BCBS
NC
01
—
2265818B
FMH
NC
01
—
2265818C
MPH
NC
01
—
27401
PARTNERS
NC
05
—
891177C
—
NC
01
—
P00409831
MEDICARE RR
NC
Enumeration date
02/03/2006
Last updated
11/21/2023
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