Individual provider · Type 1 NPI
Latisha Harris
Health Service Clinic/Center · Jonesboro, GA
NPI number
1245601137
Active
Practice location
307 Kendrick Estates Dr
Jonesboro, GA 30238-2196
Fax (770) 471-8037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 390588082 (GA) |
Health Service Clinic/Center: Definition to come...
Another provider at this address
About NPI 1245601137
Latisha Harris's National Provider Identifier is 1245601137, issued on Oct 17, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Jonesboro, GA. The record was last updated on Oct 17, 2015.