Individual
MARILYN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2207 WINDERMERE WAY, POWDER SPRINGS, GA 30127-1469
(678) 481-8441
Mailing address
2207 WINDERMERE WAY, POWDER SPRINGS, GA 30127-1469
(678) 481-8441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN143938
GA
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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