Provider Demographics
NPI:1871531681
Name:HARRIS, CURTIS N (MD)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:N
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40480
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-0480
Mailing Address - Country:US
Mailing Address - Phone:251-660-5763
Mailing Address - Fax:251-660-5752
Practice Address - Street 1:1601
Practice Address - Street 2:STE 2N
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1512
Practice Address - Country:US
Practice Address - Phone:251-660-5763
Practice Address - Fax:251-660-5752
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL132652086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL13-10024OtherUNITED HEALTH CARE
GA240001707OtherRAILROAD MEDICARE PTAN
AL51591050OtherBCBS - 575 STANTON RD
LA1550353Medicaid
FL055187200Medicaid
AL000082770Medicaid
AL000087061Medicaid
AL51501764OtherBLUE CROSS
AL51082770OtherBLUE CROSS
MS00015005Medicaid
A38162Medicare UPIN
AL000087061Medicaid