Harris, Gina R
Harris, Gina R is an individual health care provider with primary practice located at 500 Medical Center Blvd Ste 190 , Lawrenceville GA 30046-3379. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Harris, Gina R can be contacted via phone (770) 643-4115.Contact Information
Primary practice address
500 Medical Center Blvd Ste 190
Lawrenceville GA 30046-3379
Phone: (770) 643-4115
Fax: (678) 377-3820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 85893 | Georgia |
Profile Details
| NPI number | 1104272194 |
|---|---|
| LBN Legal business name | Harris, Gina R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2016 |
| Last updated | Feb 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104272194 | NPPES |
| Georgia | MEDICAID | 300034164A |
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