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Contact Information

JOHN J HARRIS MD PC
5050 POPLAR AVE
SUITE 618
MEMPHIS, TN38157-0618
 Phone: 901-682-3035
 Fax: 901-682-3049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JOHN J HARRIS MD PC · (Female)

NPI Number 1396938239
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2007
Last updated 11/22/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # 004915
  • TN License # 04915
  • TN Medicaid 3383409
  • TN Other 2000129 BLUE SHIELD
  • TN Other 262101820 RAILROAD MEDICARE/PIN
Hospital affiliation(s) Not Available
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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