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General NPI Number Information
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NPI Number | 1982641189
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Entity Type | Individual
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Provider Name | ROBERT LOVE HARRIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 1040 RIVER OAKS SR. SUITE 103
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City | FLOWOOD
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State | MS
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Zip | 39232-7696
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Country | US
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Telephone | 601-948-6540
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Fax | 601-948-6518
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Provider Business Mailing Address
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Address Line | 501 MARSHALL ST SUITE 600
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City | JACKSON
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State | MS
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Zip | 39202-1651
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Country | US
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Telephone | 601-948-6540
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Fax | 601-326-1501
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 00016908
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 12843
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 00016908
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 12843
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License Number State | MS
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