Individual
DR. MILTON DEAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
186 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 277-2000
(336) 277-2050
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-2000
(336) 277-2050
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20733
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060012388
MEDICARE RAILROAD
NC
01
—
144
PARTNERS MEDICARE
NC
01
—
1441816003
CIGNA
NC
01
—
207057
MPH PROVIDER NUMBER
NC
01
—
212257
FMC PROVIDER NUMBER
NC
01
—
215893
MAMSI
NC
01
—
2502153
UNITED HEALTH CARE
NC
01
—
25038
MEDCOST
NC
01
—
39969
BCNC
NC
01
—
4098792
AETNA
NC
05
—
8939969
—
NC
01
—
P00654535
RAILROAD MEDICARE
NC
Enumeration date
05/01/2006
Last updated
11/15/2023
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