Individual
JULIE OBENAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 E 16TH AVE, CORDELE, GA 31015-4585
(229) 273-9270
Mailing address
917 ABINGDON CV, BONAIRE, GA 31005-3880
(716) 548-4446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030183
GA
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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