Individual
MARK D HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1710 S. 17TH ST., WILMINGTON, NC 28401-6442
(910) 762-1182
(910) 202-2020
Mailing address
1710 S. 17TH ST., WILMINGTON, NC 28401-6442
(910) 762-1182
(910) 202-2020
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
200100549
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89129JM
—
NC
05
—
89138CO
—
NC
Enumeration date
07/11/2005
Last updated
07/09/2015
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