NPI 1003167669
Ayanna Tenay Harris, LPN
Practice location
- Address
- 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058-5252
- Phone
- (770) 484-2600
- Fax
- (770) 484-0155
- Mailing address
- 1043 Carriage Trace Cir, Stone Mountain, GA 30087-4661
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1003167669
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Sep 2012
- Record last updated
- 24 Sep 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.