Individual
DR. FREDERIQUE DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1800 BAYTREE RD, VALDOSTA, GA 31602-3552
(229) 242-4939
Mailing address
5209 NORTHRIDGE RD N, VALDOSTA, GA 31605-6201
(352) 275-8526
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030458
GA
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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