Kyle Harris

NPI 1841629516 · on the registry since 2013

Practice

Address: 1975 Highway 54 W
Fayetteville, GA 30214
Phone: (770) 632-3730
Fax: (770) 632-3731
Organisation at this address: Lagniappe Llc
G Clay Taylor
Southern Pain Institute P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia