Provider Demographics
NPI:1043808249
Name:HARVEY, AERYKA MICHE'LE (MPH, OMS4, CD)
Entity type:Individual
Prefix:MS
First Name:AERYKA
Middle Name:MICHE'LE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:MPH, OMS4, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 ROCKBRIDGE RD NW STE 172-229
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-8225
Mailing Address - Country:US
Mailing Address - Phone:404-490-0419
Mailing Address - Fax:
Practice Address - Street 1:375 ROCKBRIDGE RD NW STE 172-229
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-8225
Practice Address - Country:US
Practice Address - Phone:404-490-0419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA83-3649523Medicaid