MEDICARE: CHARLES A HARRIS MD

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	208600000X	Surgery Physician	0101038732	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	P00293922	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	203230510	OTHER		CHAMPUS/TRICARE NON-NETWO
2	203230510	OTHER	VA	VIRGINIA HEALTH NETWORK
3	412506	OTHER		SOUTHERN HEALTH
4	010271894	OTHER	VA	VIRGINIA PREMIER
5	186284	OTHER	VA	ANTHEM (BCBS)
6	0005821268	OTHER		AETNA
7	8746021	OTHER		CIGNA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407850860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES A HARRIS MD

Provider Business Mailing Address
First Line	:	2900 LAMB CIR
Second Line	:	SUITE 302
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-6344
Country	:	US
Telephone Number	:	540-731-7600
Fax Number	:	540-639-5400

Provider Business Practice Location Address
First Line	:	2900 LAMB CIR
Second Line	:	SUITE 302
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-6344
Country	:	US
Telephone Number	:	540-731-7600
Fax Number	:	540-639-5400

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	02/18/2011

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Directions to “ CHARLES A HARRIS MD” Practice Location

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