Individual
LEVELLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2350 N DECATUR RD, DECATUR, GA 30033-5534
(318) 516-0193
Mailing address
2350 N DECATUR RD, DECATUR, GA 30033-5534
(318) 516-0193
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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