Provider Demographics
NPI:1457689564
Name:DR. WILLIAM B HARRIS GYNECOLOGY, PC
Entity Type:Organization
Organization Name:DR. WILLIAM B HARRIS GYNECOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:865-471-0573
Mailing Address - Street 1:1526 MEADOW SPRING DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37760-2041
Mailing Address - Country:US
Mailing Address - Phone:865-471-0573
Mailing Address - Fax:865-471-0572
Practice Address - Street 1:1526 MEADOW SPRING DR
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37760-2041
Practice Address - Country:US
Practice Address - Phone:865-471-0573
Practice Address - Fax:865-471-0572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty