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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

NPI # 1396938239
LBN Legal business name JOHN J HARRIS MD PC
Authorized official DONNA CARSON - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2007
Last updated 11/22/2010 - About 16 years ago
Identifiers
TN License # 004915
TN License # 04915
TN Medicaid 3383409
TN Other 2000129 BLUE SHIELD
TN Other 262101820 RAILROAD MEDICARE/PIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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