Individual
KIM STURDIVANT HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1365 CLIFTON ROAD, SUITE A2112, ATLANTA, GA 30322-1013
(404) 778-2011
Mailing address
1365 CLIFTON RD NE, SUITE A2112, ATLANTA, GA 30322-1013
(404) 778-2011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN096458
GA
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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