Individual
LILTON NEVADA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4210 COLUMBIA RD STE 2C, MARTINEZ, GA 30907-0437
(762) 685-8159
Mailing address
4210 COLUMBIA RD STE 2C, MARTINEZ, GA 30907-0437
(762) 685-8159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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