Individual
HARIS HATIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
631 PROFESSIONAL DR STE 450, LAWRENCEVILLE, GA 30046-3370
(770) 963-8030
(770) 339-9577
Mailing address
631 PROFESSIONAL DR STE 450, LAWRENCEVILLE, GA 30046-3370
(770) 963-8030
(770) 339-9577
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
91140
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
06/08/2022
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