Individual
NAOMI HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
836 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2913
(404) 924-9534
Mailing address
2112 BRANNEN RD SE, ATLANTA, GA 30316-4118
(404) 924-9534
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20235650129
GA
Other
Enumeration date
10/15/2015
Last updated
10/23/2019
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