Basic Information
| Provider Information | |||||||||
| NPI: | 1235449844 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HARRIS | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | K. | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | CNS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2933 JUDYLYN DRIVE | ||||||||
| Address2: | |||||||||
| City: | DECATUR | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300336005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4042924405 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2540 WINDY HILL ROAD | ||||||||
| Address2: | WELLSTAR PSYCHIATRY, LLC | ||||||||
| City: | MARIETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7706441570 | ||||||||
| FaxNumber: | 7706441576 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/15/2010 | ||||||||
| LastUpdateDate: | 10/15/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SP0808X | RN167607 | GA | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psych/Mental Health |
No ID Information.