Individual
DR. REGINALD W HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 938-7189
Mailing address
625 GRANDE HEIGHTS DR, CARY, NC 27513-3157
(919) 357-0055
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2019-02451
NC
207R00000X
Internal Medicine Physician
2019-02451
NC
208M00000X
Hospitalist Physician
Primary
2019-02451
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2017
Last updated
03/25/2021
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