Individual
HARRISON TANNER WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8051 RIDGE VLY, WOODSTOCK, GA 30189-7048
(419) 672-9141
Mailing address
8051 RIDGE VLY, WOODSTOCK, GA 30189-7048
(419) 672-9141
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN276981
GA
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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