Individual
DR. EDDIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3890 REDWINE RD SW, SUITE 212, ATLANTA, GA 30331-5582
(404) 349-1115
(404) 349-0141
Mailing address
3890 REDWINE RD SW, SUITE 212, ATLANTA, GA 30331-5582
(404) 349-1115
(404) 349-0141
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
053235
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139155698D
—
GA
01
—
7303815
AETNA
GA
01
—
954251
BCBS
GA
Enumeration date
11/01/2006
Last updated
01/21/2014
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