Individual
DR. JOHN J HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TN04915
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000129
TN BLUE SHIELD
TN
01
—
262101820
RAILROAD MEDICARE
TN
05
—
3383409
—
TN
Enumeration date
12/04/2006
Last updated
08/10/2010
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