Individual
DESTINY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5435 JEFFERSON RD STE 400, ATHENS, GA 30607-1732
(706) 247-8800
Mailing address
1910 SHELDON LN, CONYERS, GA 30094-2000
(901) 634-8714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123878
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
05/09/2025
Last updated
07/29/2025
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