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Individual

DR. GENE EDWARD LASSITER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
5122 DANIELL MILL RD, WINSTON, GA 30187-1361
(770) 789-1032
Mailing address
5122 DANIELL MILL RD, WINSTON, GA 30187-1361
(770) 789-1032

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS13073
FL
183500000X
Pharmacist
Primary
RPH010394
GA

Other

Enumeration date
09/20/2022
Last updated
09/20/2022
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