Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATISHA HARRIS
Active Sole ProprietorLATISHA HARRIS is a Health Service Clinic healthcare provider located in JONESBORO, Georgia. NPI 1245601137 is currently active in the NPPES registry. Verify at CMS.
Health Service Clinic · JONESBORO, GA
Registration Details
- NPI Number
- 1245601137
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2015 (10.862759081788 yrs)
- Last Updated
- Oct 17, 2015
- License
-
390588082 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
307 KENDRICK ESTATES DRJONESBORO, GA, 302382196Browse GA providers · Browse ZIP 30238
- Phone
- 7704718037
- Fax
- 7704718037
- Primary Specialty
-
Health Service Clinic
261QH0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.