Individual
DR. STEVEN D HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 DOCTORS DR, DOTHAN, AL 36301-2911
(334) 793-4788
(334) 793-1561
Mailing address
102 DOCTORS DR, DOTHAN, AL 36301-2911
(334) 793-4788
(334) 793-1561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10735
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000319791
—
AL
01
—
040011243
RAILROAD MEDICARE
AL
01
—
051031971
BCBS PROVIDER NUMBER
AL
01
—
174014500
US DEPT OF LABOR
AL
Enumeration date
04/05/2006
Last updated
03/26/2019
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