Individual
NICOLA HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1898 WHITE TOP RD, LAWRENCEVILLE, GA 30045-8186
(705) 055-8704
Mailing address
PO BOX 851, GRAYSON, GA 30017-0016
(470) 505-5870
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
GA
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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