Healthcare Provider Details

I. General information

NPI: 1235073743
Provider Name (Legal Business Name): JOHN J HARRIS MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3803 WRIGHTSVILLE AVE STE 7
WILMINGTON NC
28403-6232
US

IV. Provider business mailing address

3803 WRIGHTSVILLE AVE STE 7
WILMINGTON NC
28403-6232
US

V. Phone/Fax

Practice location:
  • Phone: 910-617-6413
  • Fax:
Mailing address:
  • Phone: 910-617-6413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN J HARRIS JR.
Title or Position: SOLE OWNER
Credential: MD
Phone: 910-547-4241