Individual
DR. JEFFREY D'NEIL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2450 VINSON HIGHWAY, MILLEDGEVILLE, GA 31062-1622
(770) 906-7430
Mailing address
4741 NICKLAUS DR, DULUTH, GA 30096-6064
(770) 906-7430
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002489
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000977413A
—
GA
Enumeration date
10/01/2006
Last updated
04/17/2020
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