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Individual

DR. HOWARD HAMILTON HARRIS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2790 GODWIN BLVD, SUITE 225, SUFFOLK, VA 23434-8151
(757) 539-9005
(757) 934-8438
Mailing address
2790 GODWIN BLVD, SUITE 225, SUFFOLK, VA 23434-8151
(757) 539-9005
(757) 934-9438

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101229140
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28788
SENTARA OPTIMA
VA
01
288409
BLUE CROSS BLUE SHIELD
VA
05
89063NT
NC
Enumeration date
12/20/2006
Last updated
02/18/2008
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