Individual
AMANDA GNATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4325 ATLANTA HWY, LOGANVILLE, GA 30052-2341
(770) 466-5156
Mailing address
4325 ATLANTA HWY, LOGANVILLE, GA 30052-2341
(770) 466-5156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026685
GA
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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