Individual
TAKARA N HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRICHOLOGIST
Contact information
Practice address
3766 US HIGHWAY 17 STE 102, RICHMOND HILL, GA 31324-8872
(921) 312-7272
Mailing address
172 SAINT IVES DR, SAVANNAH, GA 31419-8917
(912) 312-7272
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
174400000X
Specialist
CO124945
GA
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
06/19/2024
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