MEDICARE: JOHN K. HARRISON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	32717	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285718338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN K. HARRISON M.D.

Provider Business Mailing Address
First Line	:	2100 ERWIN RD
Second Line	:	DUKE UNIVERSITY MEDICAL CENTER - DUMC 3331
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 ERWIN RD
Second Line	:	DUKE UNIVERSITY MEDICAL CENTER - DUMC 3331
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-684-8111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	08/26/2013

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