DR. CLYDE L HARRIS MD
NPI 1205855806
Internal Medicine in Wilmington, NC

Q: What is Clyde Harris's NPI number?

The NPI number for Clyde Harris is 1205855806. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Clyde Harris's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Clyde Harris was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2006

2131 S 17TH ST, WILMINGTON, NC 28401(910) 815-5830(910) 815-5698 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Clyde L Harris Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLYDE L HARRIS MD (NPI 1205855806) is an individual internal medicine provider in Wilmington, North Carolina, licensed in North Carolina (28415) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1205855806

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. CLYDE L HARRISCredential: MD

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing AddressPo Box 602484Charlotte, NC 28260-2484 · (910) 815-5830 · Fax (910) 815-5698

Phone(910) 815-5830

Fax(910) 815-5698

Sole ProprietorNo

Enumeration DateJuly 18, 2006

Last NPPES UpdateAugust 26, 2014

✔ NPI 1205855806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 28415

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2131 S 17TH ST, Wilmington, NC 28401

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Other Identifiers 6

Medicare PIN2180238ENC

Medicare UPIND50138

Medicare PIN2180238DNC

Medicaid8939871NC

MedicaidQ28415SC

Medicare PIN2180238HNC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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