Organization
ERMEL F HARRIS JR DC DBA GRAND CENTRAL CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERMEL FLEMING HARRIS JR. D.C. (DOCTOR OF CHIROPRACTIC/OWNER)
(304) 295-4589
Entity
Organization
Contact information
Practice address
1100 9TH ST, UNIT G, VIENNA, WV 26105-2176
(304) 295-4589
(304) 295-6676
Mailing address
1100 9TH ST, UNIT G, VIENNA, WV 26105-2176
(304) 295-4589
(304) 295-6676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
226
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000172842
ANTHEM
WV
01
—
001711327
MOUNTAIN STATE BCBS
WV
05
—
0131404000
—
WV
Enumeration date
04/07/2008
Last updated
11/19/2011
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