Individual
DR. CHAD DREW HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
524 JACKSON ST, THOMSON, GA 30824-2416
(706) 595-2651
(706) 595-9029
Mailing address
524 JACKSON ST, THOMSON, GA 30824-2416
(706) 595-2651
(706) 595-9029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015998
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN015998
STATE LICENSE
GA
Enumeration date
03/12/2020
Last updated
03/12/2020
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