Individual provider · Type 1 NPI
Glenn A. Harris Jr., MD
Specialist · Fairhope, AL
NPI number
1659478014
Active
Practice location
150 S Ingleside St Ste 4
Fairhope, AL 36532-1804
Mailing address
PO Box 448
Waynesville, NC 28786-0448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | A68303 (CA) |
| Specialist | 174400000X | 2003029891 (MO) |
| Internal Medicine Physician | 207R00000X | 162439 (NC) |
| Cardiovascular Disease Physician | 207RC0000X | 162439 (NC) |
| Specialist Primary | 174400000X | 200000225 (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Fairhope
About NPI 1659478014
Glenn A. Harris Jr., MD's National Provider Identifier is 1659478014, issued on Sep 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairhope, AL. The record was last updated on Mar 23, 2022.