Individual
DR. GARY D HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4501 MACCORKLE AVE SW, SUITE 402, SOUTH CHARLESTON, WV 25309-1444
(304) 766-6555
(304) 768-2335
Mailing address
4501 MACCORKLE AVE SW, SUITE 402, SOUTH CHARLESTON, WV 25309-1444
(304) 766-6555
(304) 768-2335
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-0053
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9460024
—
WV
Enumeration date
10/24/2006
Last updated
06/02/2009
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