Individual
DAVID MICHAEL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
819 CHURCH ST, ROYSTON, GA 30662-4434
(706) 245-6177
(706) 245-6242
Mailing address
819 CHURCH ST, ROYSTON, GA 30662-4434
(706) 245-6177
(706) 245-6242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
031015
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00430064A
—
GA
01
—
040078
BCBS
—
Enumeration date
12/05/2006
Last updated
10/20/2011
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