Individual
MARY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 W 6TH STREET, FORT STEWART, GA 31314-5641
(912) 767-8513
Mailing address
351 W 6TH STREET, FORT STEWART, GA 31314-5641
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31.005987
OH
Other
Enumeration date
07/06/2016
Last updated
10/31/2018
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