Dr. Charles Russell Harris JR.
Dermatologist General Practice Physician Dermatopathologist Procedural Dermatology and 1 more
101 Martin Luther King Jr Dr
Forsyth
, Georgia 31029-1698
Dr. Charles Russell Harris JR.
Dermatologist General Practice Physician Dermatopathologist Procedural Dermatology and 1 more
101 Martin Luther King Jr Dr
Forsyth
, Georgia 31029-1698
(478) 274-8418
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
- Pediatric Dermatologist
- Procedural Dermatology
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Charles Russell Harris JR.
- 2400 Bellevue Rd Suite 21-A
- Dublin, GA
- Zip : 31021-2885
- Fax : (478) 274-8418
- Phone : (478) 275-7202
Second Address
- Dr. Charles Russell Harris JR.
- 101 Martin Luther King Jr Dr
- Forsyth, GA
- Zip : 31029-1698
- Fax : (478) 994-9781
- Phone : (478) 994-5281
Reviews
FAQs
Where did Dr. Charles Russell Harris JR. attend graduate school?
Where did Dr. Charles Russell Harris JR. do his residency?
Where did Dr. Charles Russell Harris JR. do his fellowship?
Is Dr. Charles Russell Harris JR. board certified?
What type of doctor is Dr. Charles Russell Harris JR.
In what state does Dr. Charles Russell Harris JR. practice in?
Where is Dr. Charles Russell Harris JR.’s practice located?
What is Dr. Charles Russell Harris JR.’s gender?
Is Dr. Charles Russell Harris JR. a sole practitioner?
Is Dr. Charles Russell Harris JR. accepting new patients?
What languages does Dr. Charles Russell Harris JR. speak?
Does Dr. Charles Russell Harris JR. accept insurance?
Does Dr. Charles Russell Harris JR. offers telemedicine?
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Does Dr. Charles Russell Harris JR. have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 019692 | GA |
| N | 207ND0900X | Dermatopathologist | 019692 | GA |
| N | 207NP0225X | Pediatric Dermatologist | 019692 | GA |
| N | 207NS0135X | Procedural Dermatology | 019692 | GA |
| N | 208D00000X | General Practice Physician | 019692 | GA |
National Provider Identifier
| NPI | 1073590410 |
|---|---|
| Provider Name | Dr. Charles Russell Harris JR. |
| First Address | Dublin, GA 31021-2885 |
| Second Address | Forsyth, GA 31029-1698 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2005 |
| Last Update Date | 23/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003136057 | (05) | GA |
| D45571 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.