Individual
DR. BILL H HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1322 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 793-2574
Mailing address
176 DAWKINS DR, LEWISBURG, WV 24901-9302
(304) 647-4411
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
17915
KY
207RI0011X
Interventional Cardiology Physician
Primary
17915
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051882
ANTHEM
KY
05
—
64179153
—
KY
01
—
P00419636
RAILROAD MEDICARE
KY
Enumeration date
08/12/2006
Last updated
09/16/2020
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