Individual
CAMILLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 DECATUR ST SE, ATLANTA, GA 30303-3201
(404) 413-4040
Mailing address
125 DECATUR ST SE, ATLANTA, GA 30303-3201
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
AT002296
GA
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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