Individual
MS. MIRANDA RACHELLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-9414
(704) 384-5735
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2015-01347
NC
2084P0800X
Psychiatry Physician
Primary
92407
SC
2084P0804X
Child & Adolescent Psychiatry Physician
070278
GA
2084P0804X
Child & Adolescent Psychiatry Physician
92407
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003136648A
—
GA
05
—
1679735328
—
NC
Enumeration date
06/25/2008
Last updated
01/20/2026
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