Organization
COMPREHENSIVE NEUROLOGY SPECIALIST
Active
Other names
MARK I HARRIS MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK I HARRIS MD (MEDICAL DOCTOR)
(770) 454-4685
Entity
Organization
Contact information
Practice address
4275 JOHNS CREEK PKWY, SUITE C, SUWANEE, GA 30024-6038
(770) 454-4685
(770) 454-4690
Mailing address
4275 JOHNS CREEK PKWY, SUITE C, SUWANEE, GA 30024-6038
(770) 454-4685
(770) 454-4690
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
30084
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00371115D
—
GA
Enumeration date
08/21/2006
Last updated
11/01/2007
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