Individual
TIA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5640 STRATHMOOR MANOR CIR, LITHONIA, GA 30058-2633
(404) 808-0244
Mailing address
5640 STRATHMOOR MANOR CIR, LITHONIA, GA 30058-2633
(404) 808-0244
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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