Individual
LINDA MAE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
311 WHITE INGRAM PKWY, DALLAS, GA 30132-0969
(678) 363-7447
(678) 363-7787
Mailing address
713 CREEKRIDGE CT, TEMPLE, GA 30179-5442
(857) 544-3641
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN082024
GA
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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