Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAIR WALTER HARRIS, DO
ActiveBLAIR WALTER HARRIS, DO is a Dermatology healthcare provider located in LELAND, North Carolina. NPI 1376001479 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LELAND, NC
Registration Details
- NPI Number
- 1376001479
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2019 (7.4765022753121 yrs)
- Last Updated
- Aug 7, 2024
- Licenses
-
2022-02190 (NC)2022-02190 (NC)
Practice Information
- Address
-
509 OLDE WATERFORD WAY STE 103LELAND, NC, 284514126Browse NC providers · Browse ZIP 28451
- Phone
- 9106310301
- Fax
- 9102921230
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.