Individual
TELESHA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3232 UNION CHURCH RD, WARTHEN, GA 31094-3109
(478) 357-8777
Mailing address
1056 S CONFEDERATE DR, MACON, GA 31220-2829
(478) 357-8777
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
GA
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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