Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLENN A HARRIS JR., M.D.

Active Sole Proprietor

Specialist · FAIRHOPE, AL

Registration Details

NPI Number: 1659478014
Provider Type: Individual
Gender: Male
NPI Issued: Sep 20, 2006 (19.634712257006 yrs)
Last Updated: Mar 23, 2022
Licenses: A68303 (CA)

2003029891 (MO)

162439 (NC)

162439 (NC)

200000225 (NC)
Sole Proprietor: Yes

Practice Information

Address: 150 S INGLESIDE ST STE 4

FAIRHOPE, AL, 365321804
Browse AL providers · Browse ZIP 36532
Phone: 2519901920
Primary Specialty: Specialist
174400000X
Additional Specialty: Specialist
Additional Specialty: Internal Medicine
Additional Specialty: Cardiovascular Disease
Additional Specialty: Specialist

Other Specialist Providers in FAIRHOPE, AL

Name	Credential	NPI
DR. JOSEPH N M NDOLO	M.D.	1225011612
DR. NANCY A MCLEOD	M.D.	1508841255
MICHAEL S PURSLEY	MD	1467430777
ABDEL H KASMIA	MD	1821033127
DR. BETTY RUTH RUTH SPEIR	MD	1528396173

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.