Individual
JANNA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD NE, SUITE 200, ATLANTA, GA 30342-1764
(404) 252-6104
(404) 257-1808
Mailing address
1838 AMERICAN WAY, LAWRENCEVILLE, GA 30043-6611
(770) 995-7622
(770) 995-7854
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT830
GA
363A00000X
Physician Assistant
0110010216
VA
363A00000X
Physician Assistant
5762
GA
363A00000X
Physician Assistant
PA9112078
FL
363AM0700X
Medical Physician Assistant
Primary
MA062343
PA
363AS0400X
Surgical Physician Assistant
PA9112078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003123470A
—
GA
Enumeration date
06/27/2006
Last updated
03/03/2025
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