Individual
MRS. JACINTA CHANTE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8109 MALL PKWY, T-1909, LITHONIA, GA 30038-2546
(678) 259-0047
(678) 259-0047
Mailing address
8109 MALL PKWY, T-1909, LITHONIA, GA 30038-2546
(678) 259-0047
(678) 259-0047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022038
GA
Other
Enumeration date
06/11/2011
Last updated
06/11/2011
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