Individual
GEORGETTA HARRIS-WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 RUSSELLVILLE RD, HOPKINSVILLE, KY 42240-8095
(270) 889-6025
Mailing address
2636 NASHBORO BLVD, NASHVILLE, TN 37217-4849
(615) 854-0559
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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