Individual
ANDRAYA JOHNSON HIBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1874 PIEDMONT AVE NE STE 100A, ATLANTA, GA 30324-4816
(404) 733-6800
Mailing address
1874 PIEDMONT AVE NE STE 100A, ATLANTA, GA 30324-4816
(770) 401-0222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52148
TX
Other
Enumeration date
08/29/2012
Last updated
10/11/2024
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