Individual
JANET HOGAN HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S. P.C.
Contact information
Practice address
108 FIELDSTONE DR, MILLEDGEVILLE, GA 31061-7110
(478) 453-7535
(478) 453-7536
Mailing address
108 FIELDSTONE DRIVE, MILLEDGEVILLE, GA 31061
(478) 453-7535
(478) 453-7536
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8768
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00151126A
—
GA
01
—
0792229
UNITED CONCORDIA
GA
Enumeration date
07/08/2005
Last updated
02/10/2014
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