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Contact Information

CAROL HARRIS, MD
1314 19TH AVE
MERIDIAN, MS39301-4116
 Phone: 601-703-4362
 Fax: 601-703-1320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for CAROL HARRIS · (Female)

NPI Number 1710935671
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 11/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 336060187
  • IN License # 01070601A
  • IN Other 201067100 MEDICAID
Hospital affiliation(s)
  • RUSH FOUNDATION HOSPITAL - (Acute Care)
    1314 19TH AVE
    MERIDIAN, MS 39301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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