Provider Demographics
NPI:1760445787
Name:HARRIS, JAMES WOODROW JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WOODROW
Last Name:HARRIS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 3445
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-3445
Mailing Address - Country:US
Mailing Address - Phone:828-322-2050
Mailing Address - Fax:704-732-3799
Practice Address - Street 1:2424 CENTURY PL SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4031
Practice Address - Country:US
Practice Address - Phone:828-322-2050
Practice Address - Fax:828-345-0522
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC97000580207WX0009X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5707673OtherAETNA
NC82013OtherMEDCOST
NC1146EOtherBCBS
NC5707673OtherENVOLVE
NC1760445787Medicaid
11007830OtherCAQH
NC12362671OtherMULTIPLAN
NC1853289OtherWELLCARE
NCA03458OtherEYEMED