Individual
MELINDA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
101 BECKETT LN STE 505, FAYETTEVILLE, GA 30214-7160
(470) 729-0166
(770) 703-5114
Mailing address
10809 LEES CT, JONESBORO, GA 30238-7870
(470) 729-0166
(770) 703-5114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN259311
GA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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