Healthcare Provider Details
I. General information
NPI: 1801410188
Provider Name (Legal Business Name): WILLIAM ABBOTT HARRIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/03/2020
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 MCCLENNAN BANKS DRIVE
CHARLESTON SC
29425-0001
US
IV. Provider business mailing address
10 MCCLENNAN BANKS DR
CHARLESTON SC
29401-1164
US
V. Phone/Fax
- Phone: 843-792-1414
- Fax:
- Phone: 843-792-9570
- Fax: 843-792-5878
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 84311 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 84311 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: