Individual
KAVYA BALAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 WESTON AVE, SUWANEE, GA 30024-4480
(404) 488-8232
Mailing address
3660 WESTON AVE, SUWANEE, GA 30024-4480
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033792
GA
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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