Individual
AMY NICOLE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 S JEFFERSON ST SE, MILLEDGEVILLE, GA 31061-4006
(478) 979-0811
Mailing address
350 FRED HALL RD, IVEY, GA 31031-2400
(478) 979-0811
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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