Individual
MISS ELIZA GRACE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2711 IRVIN WAY STE 205, DECATUR, GA 30030-1724
(404) 355-1446
(404) 328-0226
Mailing address
744 TWIN OAKS DR APT 1, DECATUR, GA 30030-4058
(706) 969-9729
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13197
GA
Other
Enumeration date
07/15/2025
Last updated
07/16/2025
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