Individual
DR. DARRYL R HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30045-7694
(678) 312-3317
Mailing address
4605 GUILFORD FOREST DR SW, ATLANTA, GA 30331
(404) 691-2440
(404) 691-1137
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
032920
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00429217D
—
GA
Enumeration date
01/27/2007
Last updated
03/03/2014
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