Individual
DR. JOE ALLEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 LINCOLN PARKWAY, SUITE 202, HATTIESBURG, MS 39402
(601) 288-8050
Mailing address
1 LINCOLN PARKWAY, SUITE 202, HATTIESBURG, MS 39402
(601) 288-8050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17029
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123351
—
MS
05
—
009933437
—
AL
01
—
260048290
MEDICARE RAILROAD
MS
Enumeration date
06/14/2006
Last updated
12/06/2019
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