Harris, Latisha

Harris, Latisha is an sole proprietor health care provider with primary practice located at 307 Kendrick Estates Dr , Jonesboro GA 30238-2196. She recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as her primary health care specialty. Harris, Latisha can be contacted via phone (770) 471-8037.

Contact Information

Primary practice address
307 Kendrick Estates Dr Jonesboro GA 30238-2196
Phone: (770) 471-8037
Fax: (770) 471-8037
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 390588082 Georgia

Profile Details

NPI number 1245601137
LBN Legal business name Harris, Latisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2015
Last updated Oct 17th, 2015 - about 11 years ago

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.

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