Individual
DR. MICHAEL LINDON HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4501 MACCORKLE AVE SW, SUITE 500, SOUTH CHARLESTON, WV 25309-1444
(304) 766-6266
(304) 766-7825
Mailing address
4501 MACCORKLE AVE SW, SUITE 500, SOUTH CHARLESTON, WV 25309-1444
(304) 766-6266
(304) 766-7825
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17469
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095821000
—
WV
Enumeration date
06/27/2006
Last updated
07/08/2007
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