MEDICARE: CORLISS HARRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747A0650X	Attendant Care Provider

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000	OTHER		DEPARTMENT OF VA

General Provider Information

NPI Number	:	1578195822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORLISS HARRIS

Provider Business Mailing Address
First Line	:	142 OAK DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30354-2650
Country	:	US
Telephone Number	:	404-895-2242
Fax Number	:

Provider Business Practice Location Address
First Line	:	142 OAK DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30354-2650
Country	:	US
Telephone Number	:	404-895-2242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2020
Last Update Date	:	02/05/2020

Similar Medicare Providers

1932170370 — PATRICIA M KLUMP CRNA
Practice Location Address:

3203 LENOX RD NE APT 15
ATLANTA, GA
30324-2650

Practice Phone: 404-814-0883
Practice Fax:

1437261617 — R. ELLIOTT JACKSON GERIATRICS,LLC
Practice Location Address:

2650 WEIGELIA RD NE
ATLANTA, GA
30345-3969

Practice Phone: 404-213-3672
Practice Fax: 770-458-1596

1275645459 — RAMSEY ELLIOTT JACKSON M.D.
Practice Location Address:

2650 WEIGELIA RD NE
ATLANTA, GA
30345-3969

Practice Phone: 404-213-3672
Practice Fax: 404-633-4271

1609312487 — ALAMO HEALTH GROUP, LLC
Practice Location Address:

4816 ASHFORD LN
ATLANTA, GA
30338-2650

Practice Phone: 770-652-3667
Practice Fax:

1073011615 — JENNIFER S STOVALL
Practice Location Address:

2650 FARLEY ST
ATLANTA, GA
30344-2327

Practice Phone: 678-235-1982
Practice Fax:

1255809927 — GOLDEN YEARS SENIORCARE INC.
Practice Location Address:

2650 FARLEY ST
ATLANTA, GA
30344-2327

Practice Phone: 678-235-1982
Practice Fax:

Directions to “ CORLISS HARRIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.