Provider Demographics
NPI:1871659946
Name:HARRIS, JAMES BOB
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:BOB
Last Name:HARRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 GILLIONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-3735
Mailing Address - Country:US
Mailing Address - Phone:229-436-2144
Mailing Address - Fax:229-435-8585
Practice Address - Street 1:1716 GILLIONVILLE RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-3735
Practice Address - Country:US
Practice Address - Phone:229-436-2144
Practice Address - Fax:229-435-8585
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health