Provider Demographics
NPI:1992439848
Name:HARRIS, ANNE M (DC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:HARRIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4728 SCAUP WAY
Mailing Address - Street 2:
Mailing Address - City:WINNABOW
Mailing Address - State:NC
Mailing Address - Zip Code:28479-6403
Mailing Address - Country:US
Mailing Address - Phone:910-782-4958
Mailing Address - Fax:
Practice Address - Street 1:201 N FRONT ST STE 905
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-5088
Practice Address - Country:US
Practice Address - Phone:191-078-2495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5520111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor