Individual
MARY ALLENE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
275 COLLIER RD NW STE 300, ATLANTA, GA 30309-1740
(404) 350-0009
(404) 350-0280
Mailing address
275 COLLIER RD NW STE 300, ATLANTA, GA 30309-1740
(404) 350-0009
(404) 350-0280
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
155058
GA
363LF0000X
Family Nurse Practitioner
155058
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003150976A
—
GA
Enumeration date
10/30/2013
Last updated
11/18/2025
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