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NPI Code Detail

MEDICARE: DR. WILLIAM W HARLESS M.D. PHD.

MEDICARE: DR. WILLIAM W HARLESS M.D. PHD.
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
1207RX0202XMedical Oncology PhysicianMD23392ME
2207RX0202XMedical Oncology Physician35C.003724OH
3174400000XSpecialist37144AL
4207RX0202XMedical Oncology Physician21423WV
5207RX0202XMedical Oncology Physician62961CT

General Provider Information

NPI Number : 1528100948
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM W HARLESS M.D. PHD.
Provider Business Mailing Address
First Line : 1400 AFFLINK PL STE 101
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35406-2452
Country : US
Telephone Number : 205-366-9740
Fax Number : 205-344-9992
Provider Business Practice Location Address
First Line : 3415 MACCORKLE AVE SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-1334
Country : US
Telephone Number : 304-388-4949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 02/06/2026

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