MEDICARE: NIAMBER HARRIS DC

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	111N00000X	Chiropractor	CHIR010812	GA

General Provider Information

NPI Number	:	1184350753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIAMBER HARRIS DC

Provider Business Mailing Address
First Line	:	824 SOUTHBRIDGE BLVD
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-1095
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1965 N PARK PL SE UNIT 200
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2004
Country	:	US
Telephone Number	:	404-592-0322
Fax Number	:

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

Provider Enumeration Date	:	07/26/2022
Last Update Date	:	07/26/2022

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Directions to “ NIAMBER HARRIS DC” Practice Location

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