NPI 1275249641

Reginald B Harris

Practitioner Driver Madison, AL

Practice location

Address: 1260 Balch Rd APT 1209, Madison, AL 35757-6419
Phone: (334) 498-7741

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 8549760 (AL)

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Registry record

NPI: 1275249641
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jan 2023
Record last updated: 27 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.