DELECIA M. HARRIS


Address: 2950 Stone Hogan Connector Rd. S.w, Building A Suite B, Atlanta, GA 30331
Phone: 4047812800

DELECIA M. HARRIS (NPI# 1982888129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982888129
Entity Type Individual
Full Name DELECIA M. HARRIS
Credential FNP
Practice Address 2950 Stone Hogan Connector Rd. S.w
Building A Suite B
Atlanta
GA 30331
Practice Telephone 4047812800
Practice Fax Number 8338972947
Mailing Telephone 4047812800
Mailing Fax Number 8338972947
Enumeration Date 2007-12-24
Last Update Date 2020-08-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
165597 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2950 STONE HOGAN CONNECTOR RD. S.W
BUILDING A SUITE B
City ATLANTA
State GA
Zip Code 30331

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1295375558 Drusilla Precious Cudjoe Behavior Technician 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 2020-01-14
1497262778 Champions Pharmacy Pharmacy 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 2018-01-08
1033629779 Carmen Ardoin Counselor 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 2017-10-09
1346759974 Neva R Allison Nurse Practitioner 2611 Dayview Ln, Atlanta, GA 30331 2017-09-26
1538678255 Natalie Mckay Technician/Technologist 3915 Cascade Rd, 220, Atlanta, GA 30331 2017-09-26
1700304268 Tyrone Pipkin Contractor 415 Kendrick Terrace Sw, Atlanta, GA 30331 2017-09-05
1073031688 Kristen Wooldridge Pharmacist 3695 Cascade Road, Atlanta, GA 30331 2017-09-04
1548704687 Advance Pain Management Health Maintenance Organization 2950 Stone Hogan Road Connector, Atlanta, GA 30331 2016-12-08
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1396382321 Stacey Brinkley Nurse Practitioner 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 2019-12-10
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1265075170 Cecile Veronica Maner Nurse Practitioner 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 2019-10-23
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Competitor

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City ATLANTA
Zip Code 30331

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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