Provider Demographics
NPI:1922722768
Name:HARVIE, EMMA LEIGH (MS, CNS, LN)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:LEIGH
Last Name:HARVIE
Suffix:
Gender:F
Credentials:MS, CNS, LN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 UNITED AVE SE UNIT 301
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-3684
Mailing Address - Country:US
Mailing Address - Phone:218-343-1633
Mailing Address - Fax:
Practice Address - Street 1:840 UNITED AVE SE UNIT 301
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-3684
Practice Address - Country:US
Practice Address - Phone:218-343-1633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNN243133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist