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Individual

MR. JEFFREY ALAN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN

Contact information

Practice address
308 COLISEUM DR, SUITE 120, MACON, GA 31217-3808
(478) 745-6130
(478) 745-4443
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(478) 745-6130
(478) 745-4443

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN109366
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432780319G
GA
05
432780319H
GA
Enumeration date
01/09/2006
Last updated
10/29/2025
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