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Individual

DR. CYNTHIA JORDAN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2108 N PATTERSON ST, VALDOSTA, GA 31602-2947
(229) 244-3000
(229) 244-1934
Mailing address
PO BOX 3211, VALDOSTA, GA 31604-3211
(229) 244-3000
(229) 244-1934

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001699
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00802293A
GA
Enumeration date
03/24/2006
Last updated
07/01/2021
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