Provider Demographics
NPI:1871122796
Name:HARRIS-STOKES, SHARON DENISE
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:DENISE
Last Name:HARRIS-STOKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7135 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:REX
Mailing Address - State:GA
Mailing Address - Zip Code:30273-1904
Mailing Address - Country:US
Mailing Address - Phone:678-427-4545
Mailing Address - Fax:
Practice Address - Street 1:7135 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:REX
Practice Address - State:GA
Practice Address - Zip Code:30273-1904
Practice Address - Country:US
Practice Address - Phone:678-427-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0000036207376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide