Healthcare Provider Details

I. General information

NPI: 1932425998
Provider Name (Legal Business Name): CATHERINE JAMISON HARRIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2010
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4218 ARENDELL ST
MOREHEAD CITY NC
28557-2866
US

IV. Provider business mailing address

PO BOX 68
POLLOCKSVILLE NC
28573-0068
US

V. Phone/Fax

Practice location:
  • Phone: 252-247-3257
  • Fax: 252-247-1076
Mailing address:
  • Phone: 252-635-3906
  • Fax: 252-224-0378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License Number2024-02431
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberDR.0058666
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: