Harris, Gregory Deon
Harris, Gregory Deon is an individual health care provider with primary practice located at 1716 Gillionville Rd , Albany GA 31707-3735. He recently has 4 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Home Health Aide is his primary health care specialty. Harris, Gregory Deon can be contacted via phone (229) 435-3922.Contact Information
Primary practice address
1716 Gillionville Rd
Albany GA 31707-3735
Phone: (229) 435-3922
Fax: (229) 435-3945
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Home Health Aide | 374U00000X | 047-R-0007 | Georgia |
Nursing Service Related Providers / Homemaker | 376J00000X | 047-R-0007 | Georgia |
Nursing Service Related Providers / Nurse's Aide | 376K00000X | 047-R-0007 | Georgia |
Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
NPI number | 1386700086 |
---|---|
LBN Legal business name | Harris, Gregory Deon |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 28th, 2006 |
Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386700086 | NPPES |
Georgia | MEDICAID | 000696814C | |
Georgia | MEDICAID | 000696814A | |
Georgia | MEDICAID | 000696814E |
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