Individual
D Q HARRIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 SUNSET CIRCLE, MOULTRIE, GA 31768
(229) 985-6377
(229) 890-9459
Mailing address
316 SUNSET CIRCLE, MOULTRIE, GA 31768
(229) 985-6377
(229) 890-9459
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14506
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000143888A
—
GA
01
—
034690
BC
GA
Enumeration date
08/19/2006
Last updated
07/18/2014
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