Organization
MICHAEL L. HARRIS, M.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. 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
207W00000X
Ophthalmology Physician
Primary
17469
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095821000
—
WV
Enumeration date
10/18/2006
Last updated
02/02/2010
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