Individual
ELIZABETH CHANDLER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 PHIIP BLVD, SUITE A, LAWRENCEVILLE, GA 30046-8746
(770) 822-5560
(770) 822-4989
Mailing address
1001 SUMMIT BLVD STE 200, BROOKHAVEN, GA 30319-6410
(770) 989-1668
(678) 388-1759
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008862
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003208377A
—
GA
Enumeration date
07/31/2018
Last updated
10/03/2018
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