Individual
DR. JONATHAN CLARK SLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
201 PACIFIC AVE, BREMEN, GA 30110-2044
(770) 824-5077
(770) 824-5462
Mailing address
201 PACIFIC AVE, BREMEN, GA 30110-2044
(770) 824-5077
(770) 824-5462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024888
GA
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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