Individual
DR. GINA R HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
500 MEDICAL CENTER BLVD STE 190, LAWRENCEVILLE, GA 30046-3379
(770) 643-4115
(678) 377-3820
Mailing address
500 MEDICAL CENTER BLVD STE 190, LAWRENCEVILLE, GA 30046-3379
(770) 643-4115
(678) 377-3820
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
85893
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034164A
—
GA
Enumeration date
05/09/2016
Last updated
02/11/2025
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