Individual
DR. WILLIAM LEE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 307, CHARLESTON, WV 25304-1223
(304) 344-2451
(304) 346-1979
Mailing address
3100 MACCORKLE AVE SE, SUITE 307, CHARLESTON, WV 25304-1223
(304) 344-2451
(304) 346-1979
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
10537
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719599
BLUE CROSS BLUE SHIELD
WV
01
—
001755431
BLUE CROSS BLUE SHILED
WV
01
—
042282
UNITED MINE WORKERS OF AM
WV
01
—
406083603
RAILROAD MEDICARE
WV
01
—
550569719001-WV
WV PUBLIC EMPLOYEES INS A
WV
Enumeration date
11/20/2006
Last updated
07/08/2007
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