Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | 554 | NC |
N | 213ES0103X | Foot & Ankle Surgery | 616 | SC |
Y | 213ES0103X | Foot & Ankle Surgery | SC005998 | PA |
NPI | 1013103100 |
---|---|
Provider Name | Dr. William Harris IV |
First Address | Lancaster, SC 29720-1709 |
Second Address | Lancaster, SC 29720-1709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2007 |
Last Update Date | 15/07/2011 |