Harris, Stephen Davis

Harris, Stephen Davis is an individual health care provider with primary practice located at 200 Hawthorne Lane , Charlotte NC 28204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Harris, Stephen Davis can be contacted via phone (704) 384-4814.

Contact Information

Primary practice address
200 Hawthorne Lane Charlotte NC 28204
Phone: (704) 384-4814
Fax: (704) 384-5770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 34031 North Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 34031 North Carolina

Profile Details

NPI number 1306805361
LBN Legal business name Harris, Stephen Davis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Oct 11th, 2007 - about 17 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 1306805361 NPPES
North Carolina Other 39602 BCBS
North Carolina MEDICAID 7939602 BCBS

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