Individual
ANGELINE HYATT HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3055 HIGHWAY 34 E, NEWNAN, GA 30265-2179
(770) 252-3937
Mailing address
2169 POPLAR RD, NEWNAN, GA 30265-1628
(770) 253-5229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12401
GA
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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