Provider Demographics
NPI:1821320078
Name:HARRIS, CHRISTOPHER JOSEPH (DC, BS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOSEPH
Last Name:HARRIS
Suffix:
Gender:M
Credentials:DC, BS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3822 OLEANDER DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-6715
Mailing Address - Country:US
Mailing Address - Phone:336-293-8931
Mailing Address - Fax:336-293-8152
Practice Address - Street 1:205 S STRATFORD RD
Practice Address - Street 2:SUITE L
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1871
Practice Address - Country:US
Practice Address - Phone:336-293-8931
Practice Address - Fax:336-293-8152
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4060111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor