Provider Demographics
NPI:1750317236
Name:HARRISON-SPEARS, MEREDITH MARCHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:MARCHELLE
Last Name:HARRISON-SPEARS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CARISSA
Other - Middle Name:JANINE
Other - Last Name:GANNAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:485 HUNTINGTON RD
Mailing Address - Street 2:SUITE #194
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-1861
Mailing Address - Country:US
Mailing Address - Phone:706-548-5922
Mailing Address - Fax:706-549-9354
Practice Address - Street 1:485 HUNTINGTON RD
Practice Address - Street 2:SUITE #194
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-1861
Practice Address - Country:US
Practice Address - Phone:706-548-5922
Practice Address - Fax:706-549-9354
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor