Individual
DR. CEDRIC T HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2006 BROOKWOOD MEDICAL CTR DR, WMP SUITE 710, BIRMINGHAM, AL 35209-6899
(205) 870-1262
(205) 870-0588
Mailing address
2006 BROOKWOOD MEDICAL CTR DR, WMP SUITE 710, BIRMINGHAM, AL 35209-6899
(205) 870-1262
(205) 870-0588
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12273
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000014894
—
AL
01
—
51014894
BLUE CROSS
AL
Enumeration date
06/08/2006
Last updated
07/08/2007
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