Most Relevant Information
Provider Data
| NPI Number: | 1003244021 |
| Provider Name: | MARY ALLENE HARRISON NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 155058 |
Most Important Dates
| Enumeration Date: | 10/30/2013 |
| Last Updated: | 06/16/2018 |
Provider Practice Location
2140 PEACHTREE RD NW STE 232
ATLANTA
GA
303091316
Practice Location Phone/Fax
| Phone: | 4042314431 |
| Fax: | 4042315677 |
Provider Mailing Location
2140 PEACHTREE RD NW STE 232
ATLANTA
GA
303091316
Provider Mailing Phone/Fax
| Phone: | 4042314431 |
| Fax: | 4042315677 |