Individual
BRENTON KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
100 HIGHWAY 100, HOGANSVILLE, GA 30230
(706) 637-6461
Mailing address
102 SPRING VALLEY DR, LAGRANGE, GA 30240-3734
(404) 275-8659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028251
GA
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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