Individual
DR. KEVIN ROY PHARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
4400 PEACHTREE RD NE, BROOKHAVEN, GA 30319-2729
(404) 814-9199
(404) 869-8118
Mailing address
2675 PACES FERRY RD SE STE 200, ATLANTA, GA 30339-4099
(785) 046-4006
(770) 626-3791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
86112
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2017
Last updated
08/04/2021
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