NPI age
20 years
Enumerated 2006-01-22
Across 8384 active pharmacist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 09096 | LICENSE |
| 01 (GA) | 015075 | LICENSE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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