Individual
MRS. REGINA ELLEN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1073 WESTBROOKE WAY NE, ATLANTA, GA 30319-4804
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN042456
GA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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