Individual
LORRIANE OLIMPIA HARRIS-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5674
(912) 435-6633
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5674
(912) 435-6633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
212478
NY
207QA0505X
Adult Medicine Physician
212478
NY
Other
Enumeration date
03/14/2007
Last updated
09/19/2012
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