Fawziyya Harris, DC | |
6100 Lake Forrest Dr Ste 115, Atlanta, GA 30328-3835 | |
(772) 971-9602 | |
Not Available |
Full Name | Fawziyya Harris |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 6100 Lake Forrest Dr Ste 115, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790553410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NN0400X | Chiropractor - Neurology | CH14817 (Florida) | Secondary |
111N00000X | Chiropractor | CH14817 (Florida) | Primary |
Provider Name | Nexgen Chiropractic And Neurology |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831955889 PECOS PAC ID: 8628415056 Enrollment ID: O20240321001391 |
Mailing Address | Practice Location Address |
---|---|
Fawziyya Harris, DC 114 Newry Dr, Atlanta, GA 30349-8112 Ph: (772) 971-9602 | Fawziyya Harris, DC 6100 Lake Forrest Dr Ste 115, Atlanta, GA 30328-3835 Ph: (772) 971-9602 |
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