Individual
SHANIL LARA HARKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3747 ROSWELL RD STE 314, MARIETTA, GA 30062
(678) 741-5000
(770) 321-1318
Mailing address
711 CANTON RD NE STE 300, MARIETTA, GA 30060-8949
(678) 741-5000
(678) 819-4280
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
071807
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003146414A
—
GA
Enumeration date
06/26/2008
Last updated
05/31/2018
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