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
Phone: (404) 294-8180
Fax: (404) 294-8188
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417027277 | NPPES |
| Georgia | MEDICAID | 00715371B | |
| Georgia | Other | 041305 |
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