Harris, Shirley Ann

Harris, Shirley Ann is an individual health care provider with primary practice located at 3292 Mountain Dr Suite A, Decatur GA 30032-1102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Harris, Shirley Ann can be contacted via phone (404) 294-8180.

Contact Information

Primary practice address
3292 Mountain Dr Suite A Decatur GA 30032-1102
Fax: (404) 294-8188
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 041305 Georgia

Profile Details

NPI number 1417027277
LBN Legal business name Harris, Shirley Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417027277 NPPES
Georgia MEDICAID 00715371B
Georgia Other 041305

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