Individual
DEZMOND HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1560 COMMERCIAL CT STE C, JONESBORO, GA 30238-6500
(404) 707-1714
Mailing address
1560 COMMERCIAL CT, JONESBORO, GA 30238-6500
(404) 707-1714
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
IO36233
GA
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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