Provider Demographics
NPI:1639703713
Name:HARRIS-WORELDS, JOANNA LYNN (EDD, MSDH, RDH)
Entity Type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:LYNN
Last Name:HARRIS-WORELDS
Suffix:
Gender:F
Credentials:EDD, MSDH, RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 WINBURN DR
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-2871
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1062 WINBURN DR
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-2871
Practice Address - Country:US
Practice Address - Phone:336-509-6408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist