Dr Charlie L Harris, PHD is a
Psychologist based in Tyrone, Georgia. Dr Charlie L Harris is licensed to practice in Georgia (license number 002080) and her current practice location is
120 Millbrook Village Dr Ste B203, Tyrone, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 727-6110.
NPI number for Dr Charlie L Harris is 1205919123 and her current mailing address is 5877 Village Loop, Fairburn, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205919123.
Healthcare Provider's Profile
| Full Name | Dr Charlie L Harris |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 120 Millbrook Village Dr Ste B203, Tyrone, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205919123
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 01/08/2020
Medical Identifiers
Medical identifiers for Dr Charlie L Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205919123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 002080 (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. Dr Charlie L 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 |
|---|
Dr Charlie L Harris, PHD
5877 Village Loop,
Fairburn, GA 30213-4636
Ph: (404) 277-0604 | Dr Charlie L Harris, PHD
120 Millbrook Village Dr Ste B203,
Tyrone, GA 30290-3605
Ph: (770) 727-6110 |
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