Richard    Harris    MD
Contract Details
Dr. Richard Harris
Facility name
Provider ID
P000009073
NPI
1740266857
Tax ID
200073046
Effective Date
2/2/2018
Last Updated
2/13/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_356
Location Details
Address
33650 US-43
Thomasville, AL 36784
United States
County
Clarke
Phone
3346366262 (Phone)
Billing Details
Address
33650 US-43
Thomasville, AL 36784
Billing Phone
3346366262
Specialty Type
Surgery, Orthopedic
Map
Address