Individual
TAMEKA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 ZEBULON RD, MACON, GA 31220-7606
(478) 477-3383
(478) 475-9492
Mailing address
3 JESSICA ST, BUTLER, GA 31006-5219
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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