Organization
MICHAEL L. HARRIS MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LINDON HARRIS MD (OWNER)
(304) 766-6266
Entity
Organization
Contact information
Practice address
4501 MACCORKLE AVE SW, SUITE 500, SOUTH CHARLESTON, WV 25309-1444
(304) 766-6266
(304) 766-7825
Mailing address
4501 MACCORKLE AVE SW, SUITE 500, SOUTH CHARLESTON, WV 25309-1444
(304) 766-6266
(304) 766-7825
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
17469
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095821001
—
WV
Enumeration date
06/22/2007
Last updated
08/22/2020
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