Individual
SARITA NIKKI HARRIS-HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 THORNTON RD STE C, LITHIA SPRINGS, GA 30122-2688
(770) 927-7341
Mailing address
6285 S SKYLINE DR, DOUGLASVILLE, GA 30135-3951
(404) 789-1569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN192201
GA
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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