Individual
EVA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2613 DANFORTH LN, DECATUR, GA 30033-2214
(404) 281-5603
Mailing address
2613 DANFORTH LN, DECATUR, GA 30033-2214
(404) 281-5603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
021516
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00201231C
—
GA
Enumeration date
10/06/2014
Last updated
10/08/2014
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