Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blair Walter Harris, DO

Individual provider MOHS-Micrographic Surgery Physician · NPI 1376001479

Blair Walter Harris, DO is a Dermatology in Leland, North Carolina. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2019, 7 years ago. Practices with Intracoastal Dermatology and Skin Surgery PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

509 Olde Waterford Way Ste 103
Leland, NC 28451-4126
Phone: (910) 631-0301
Fax: (910) 292-1230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2022-02190 (NC)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 2022-02190 (NC)

Record details

NPI number1376001479
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 7, 2019
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address509 Olde Waterford Way Ste 103, Leland, NC 28451-4126

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Intracoastal Dermatology And Skin Surgery Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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