Harris, Jerel Keith
Harris, Jerel Keith is an sole proprietor health care provider with primary practice located at 1677 Archer Estates Dr Nw , Kennesaw GA 30152-8101. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Harris, Jerel Keith can be contacted via phone (478) 228-8506.Contact Information
Primary practice address
1677 Archer Estates Dr Nw
Kennesaw GA 30152-8101
Phone: (478) 228-8506
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RN165803 | Georgia |
Profile Details
| NPI number | 1750843876 |
|---|---|
| LBN Legal business name | Harris, Jerel Keith |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2019 |
| Last updated | Mar 25th, 2022 - about 4 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.
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