Provider Demographics
NPI:1962778423
Name:HARRIS MEDICAL SERVICES, LLC
Entity type:Organization
Organization Name:HARRIS MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:WEE
Authorized Official - Middle Name:JIN
Authorized Official - Last Name:JUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-825-4040
Mailing Address - Street 1:3328 JENKINS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1296
Mailing Address - Country:US
Mailing Address - Phone:423-825-4040
Mailing Address - Fax:423-825-4043
Practice Address - Street 1:3328 JENKINS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1296
Practice Address - Country:US
Practice Address - Phone:423-825-4040
Practice Address - Fax:423-825-4043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty