Individual
IAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
540 E CROSSVILLE RD STE 210, ROSWELL, GA 30075-7661
(770) 510-1850
Mailing address
4186 LOCH HIGHLAND PKWY NE, ROSWELL, GA 30075-2026
(678) 896-9436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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