Individual
DR. CHARLIE L HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
120 MILLBROOK VILLAGE DR STE B203, TYRONE, GA 30290-3605
(770) 727-6110
(800) 749-1966
Mailing address
5877 VILLAGE LOOP, FAIRBURN, GA 30213-4636
(404) 277-0604
(404) 277-0604
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002080
GA
Other
Enumeration date
10/23/2006
Last updated
01/08/2020
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