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Individual

MS. RASHANTE BASHINEKA HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
882 PONCE DE LEON AVE NE, ATLANTA, GA 30306-4268
(770) 809-3034
Mailing address
882 PONCE DE LEON AVE NE, ATLANTA, GA 30306-4268
(770) 809-3034
(404) 347-9445

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P62706
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015655865A
GA
Enumeration date
08/29/2008
Last updated
07/13/2021
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