Most Relevant Information
Provider Data
| NPI Number: | 1003208679 |
| Provider Name: | CAMILLE HARRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 246Z00000X |
| Specialty: | Specialist/Technologist, Other |
| License Number: | AT002296 |
Most Important Dates
| Enumeration Date: | 02/19/2015 |
| Last Updated: | 02/19/2015 |
Provider Practice Location
125 DECATUR ST SE
ATLANTA
GA
303033201
Practice Location Phone/Fax
| Phone: | 4044134040 |
| Fax: |
Provider Mailing Location
125 DECATUR ST SE
ATLANTA
GA
303033201
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |