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Individual

CAROLYN DENNIS HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
265 BOULEVARD NE, ATLANTA, GA 30312-1208
(404) 730-1650
Mailing address
2975 SPRINGDALE RD SW, ATLANTA, GA 30315-7803
(404) 730-0230

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
109365
GA

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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