Individual
REGINALD B HARRIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1260 BALCH RD APT 1209, MADISON, AL 35757-6419
(334) 498-7741
Mailing address
1260 BALCH RD APT 1209, MADISON, AL 35757-6419
(334) 498-7741
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
8549760
AL
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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