NPI age
19 years
Enumerated 2007-03-26
Across 8384 active pharmacist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 017482 | STATE OF GA |
| 01 (SC) | 13248 | STATE OF SC |
Part of a multi-provider practice. 32 other active providers share this practice address in NPPES.
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