Individual
DR. EDDIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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
Update your record
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