Individual
AMY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1365 CLIFTON RD NE BLDG B6TH, ATLANTA, GA 30322-1013
(404) 712-5676
Mailing address
1365 CLIFTON RD NE BLDG B6TH, ATLANTA, GA 30322-1013
(321) 287-3922
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
RN227842
GA
363LF0000X
Family Nurse Practitioner
Primary
RN227842
GA
Other
Enumeration date
07/10/2018
Last updated
12/28/2018
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