Individual
BRUCE C HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 838-8220
Mailing address
650 SIGNAL HILL DRIVE EXT, PO BOX 1845, STATESVILLE, NC 28625-4353
(704) 873-4277
(704) 873-4511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30360
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8939838
—
NC
Enumeration date
08/19/2005
Last updated
01/24/2008
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