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Individual

JAMES TODD HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 BLUE RIDGE RD, SUITE 401, RALEIGH, NC 27607-6478
(919) 781-7490
Mailing address
3304 TALL TREE PL, RALEIGH, NC 27607-6669

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
96-00937
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40113
BCBS
05
8940113
NC
Enumeration date
07/12/2006
Last updated
07/08/2007
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