Mrs Gwendolyn Rose Harris, RD is a
Dietitian, Registered based in Elberton, Georgia. Mrs Gwendolyn Rose Harris is licensed to practice in Georgia (license number LD001609) and her current practice location is
4 Medical Dr, Elberton, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 283-3151.
NPI number for Mrs Gwendolyn Rose Harris is 1053323675 and her current mailing address is 4230 Sorrells Blvd, Powder Springs, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053323675.
Healthcare Provider's Profile
Full Name | Mrs Gwendolyn Rose Harris |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 4 Medical Dr, Elberton, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053323675
- Provider Enumeration Date: 08/12/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Gwendolyn Rose Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053323675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD001609 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Gwendolyn Rose Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Gwendolyn Rose Harris, RD 4230 Sorrells Blvd, Powder Springs, GA 30127-4047 Ph: (678) 567-1928 | Mrs Gwendolyn Rose Harris, RD 4 Medical Dr, Elberton, GA 30635-1830 Ph: (706) 283-3151 |
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