Provider Demographics
NPI:1619685344
Name:HARRIS, KAMESHA
Entity Type:Individual
Prefix:
First Name:KAMESHA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 GARDEN HILLS LOOP
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-5768
Mailing Address - Country:US
Mailing Address - Phone:704-231-9481
Mailing Address - Fax:
Practice Address - Street 1:550 GARDEN HILLS LOOP
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-5768
Practice Address - Country:US
Practice Address - Phone:704-231-9481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion