Individual
FAWZIYYA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6100 LAKE FORREST DR STE 115, ATLANTA, GA 30328-3835
(772) 971-9602
Mailing address
114 NEWRY DR, ATLANTA, GA 30349-8112
(772) 971-9602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH14817
FL
111NN0400X
Neurology Chiropractor
CH14817
FL
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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