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Individual

DR. STANLEY EUGENE HARRISON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 S MAIN ST, REIDSVILLE, NC 27320-5035
(336) 951-4930
Mailing address
PO BOX 890195, CHARLOTTE, NC 28289-0195
(336) 547-1877

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9700581
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10834
BCBS NC
NC
01
20911
PARTNERS MEDICARE CHOICE
NC
01
5505556
AETNA
NC
05
8910834
NC
01
D5055
MEDCOST
NC
Enumeration date
05/23/2006
Last updated
02/28/2024
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