MEDICARE: HANNA WATSON HARRIS NP

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	363LA2200X	Adult Health Nurse Practitioner	APRN-NP210547	GA

General Provider Information

NPI Number	:	1134741788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNA WATSON HARRIS NP

Provider Business Mailing Address
First Line	:	PO BOX 3726
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30914-3726
Country	:	US
Telephone Number	:	706-863-9595
Fax Number	:	706-447-7137

Provider Business Practice Location Address
First Line	:	3675 J DEWEY GRAY CIR STE 300
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30909-1868
Country	:	US
Telephone Number	:	706-863-9595
Fax Number	:	706-868-8375

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

Provider Enumeration Date	:	05/16/2020
Last Update Date	:	12/08/2025

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