Individual
JOANN THERESA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
264 MONARCH VILLAGE WAY, STOCKBRIDGE, GA 30281-7766
(678) 313-0202
Mailing address
264 MONARCH VILLAGE WAY, STOCKBRIDGE, GA 30281-7766
(678) 313-0202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN187192
GA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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