Individual
DR. PETER EDWARD HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
106 N PARK DR, FAYETTEVILLE, GA 30214-1645
(770) 716-0300
(770) 716-0300
Mailing address
155 HEARTHSTONE, FAYETTEVILLE, GA 30215
(770) 716-0300
(770) 716-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11251
GA
Other
Enumeration date
06/30/2005
Last updated
07/08/2007
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