Individual
AUDRA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7576 PLEASANTVILLE WAY, GROVETOWN, GA 30813
(706) 306-7505
Mailing address
7576 PLEASANTVILLE WAY, GROVETOWN, GA 30813
(706) 306-7505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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