Individual
HARRIS ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4467
Mailing address
2111 WOODLAND AVE, AUGUSTA, GA 30904-5031
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17777
GA
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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