JACKIE HARMON

AUSTELL, GA
NPI1639499007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: GA  RN075610)
Enumeration Date2010-06-08
Last Update Date2010-07-08
Business Address
-- JACKIE HARMON
1810 MULKEY RD SUITE 105
AUSTELL, GA 30106-1151
Phone number: 770-944-0686
Mailing Address
-- JACKIE HARMON
1810 MULKEY RD SUITE 105
AUSTELL, GA 30106-1151
Phone number: 770-944-0686