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Individual

JESSIE JAMES EDGAR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
200 TECHNOLOGY CT SE, SMYRNA, GA 30082-5250
(866) 437-8040
Mailing address
619 MYRTLE ST NE, ATLANTA, GA 30308-2431
(229) 291-4128

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHI-035090
GA
183700000X
Pharmacy Technician
Primary
PHI-021565
GA

Other

Enumeration date
08/11/2021
Last updated
01/23/2026
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