Individual
DR. CHARLES LARRY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
633 BATTLEFIELD BLVD S, STE 300, CHESAPEAKE, VA 23322
(757) 233-4700
(757) 233-4701
Mailing address
633 BATTLEFIELD BLVD S, STE 300, CHESAPEAKE, VA 23322
(757) 233-4700
(757) 233-4701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101034993
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010035864
—
VA
Enumeration date
02/21/2006
Last updated
10/24/2011
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