Individual
JADE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1730 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30043-3507
(770) 338-0089
Mailing address
938 PARK CREEK CT, GAINESVILLE, GA 30504-4157
(404) 323-9710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12516
GA
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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