STACEY HARRIS

CARROLLTON, GA
NPI1679897854
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: GA  022-01-022-1)
Enumeration Date2010-03-17
Last Update Date2011-06-22
Business Address
Mr. STACEY HARRIS
55 HICKORY CIR
CARROLLTON, GA 30116-8692
Phone number: 678-601-3504
Mailing Address
Mr. STACEY HARRIS
55 HICKORY CIR
CARROLLTON, GA 30116-8692
Phone number: 678-601-3504
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