Provider Demographics
NPI:1952514945
Name:HARRIS, MARINA LEIGH (DC)
Entity Type:Individual
Prefix:DR
First Name:MARINA
Middle Name:LEIGH
Last Name:HARRIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5295 STONE MOUNTAIN HWY
Mailing Address - Street 2:STE D
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-3439
Mailing Address - Country:US
Mailing Address - Phone:770-413-7771
Mailing Address - Fax:770-413-7779
Practice Address - Street 1:2046 W PARK PLACE BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-3536
Practice Address - Country:US
Practice Address - Phone:770-413-7771
Practice Address - Fax:770-413-7779
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GACHIROO7597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor