Provider Demographics
NPI:1144232067
Name:HARRIS, ALVIN EUGENE (M D)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:EUGENE
Last Name:HARRIS
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 FAIRVIEW DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-1251
Mailing Address - Country:US
Mailing Address - Phone:757-569-9400
Mailing Address - Fax:757-569-0137
Practice Address - Street 1:110 FAIRVIEW DR
Practice Address - Street 2:SOUTHAMPTON MED BLDG SUITE 105
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-1251
Practice Address - Country:US
Practice Address - Phone:757-569-9400
Practice Address - Fax:757-569-0137
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101033555207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine