Individual
ANTWANE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
908 20TH ST S, BIRMINGHAM, AL 35205-2610
(205) 480-1889
Mailing address
908 20TH ST S, BIRMINGHAM, AL 35205-2610
(205) 480-1889
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1-134407
AL
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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