Individual
HOWARD COURTENAY HARRISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1168 FIRST COLONIAL RD, SUITE 200, VIRGINIA BEACH, VA 23454-2426
(757) 496-9020
(757) 481-0638
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 496-9020
(757) 481-0638
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101045401
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005881650
—
VA
01
—
37200
SENTARA/OPTIMA
VA
01
—
461500
ANTHEM
VA
01
—
541595397
MID ATLANTIC SOLUTIONS
VA
01
—
541595397010
TRICARE
VA
Enumeration date
02/13/2006
Last updated
04/12/2010
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