Individual
JULIA DANIELLE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1601 E SHOTWELL ST, BAINBRIDGE, GA 39819-4347
(229) 246-1600
(229) 246-1636
Mailing address
1601 E SHOTWELL ST, BAINBRIDGE, GA 39819-4347
(229) 246-1600
(229) 246-1636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003116
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT003116
STATE LICENSE
GA
Enumeration date
05/18/2018
Last updated
06/05/2024
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