Harris, Carol

Harris, Carol is an individual health care provider with primary practice located at 1314 19Th Ave , Meridian MS 39301-4116. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Harris, Carol can be contacted via phone (601) 703-4362.

Contact Information

Primary practice address
1314 19Th Ave Meridian MS 39301-4116
Phone: (601) 703-4362
Fax: (601) 703-1320
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 336060187 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 336060187 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01070601A Indiana
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 01070601A Indiana

Profile Details

NPI number 1710935671
LBN Legal business name Harris, Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 30th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710935671 NPPES
Indiana Other 201067100 MEDICAID

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