Individual
DR. CHARLES W HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
125 BALDWIN AVE, SUITE 200, CHARLOTTE, NC 28204-3364
(704) 384-5043
(704) 384-8895
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1800
(704) 384-1830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11863
NC
207RC0000X
Cardiovascular Disease Physician
Primary
11863
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265484034
—
NC
05
—
8939865
—
NC
Enumeration date
05/17/2006
Last updated
10/25/2020
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