Provider Demographics
NPI:1821062951
Name:HARRIS, JAMES MERRIMON (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MERRIMON
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:POLLOCKSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28573-0068
Mailing Address - Country:US
Mailing Address - Phone:252-393-9007
Mailing Address - Fax:252-393-9921
Practice Address - Street 1:906 WB MCLEAN BLVD
Practice Address - Street 2:
Practice Address - City:CAPE CARTERET
Practice Address - State:NC
Practice Address - Zip Code:28584-9211
Practice Address - Country:US
Practice Address - Phone:252-393-9007
Practice Address - Fax:252-393-9921
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9800266207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine