Individual
DR. MARK ANTHONY TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
3641 LANIER DR, DOUGLASVILLE, GA 30135-7165
(770) 489-2110
Mailing address
3641 LANIER DR, DOUGLASVILLE, GA 30135-7165
(770) 489-2110
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
PS39741
FL
1835P1200X
Pharmacotherapy Pharmacist
RP040267L
PA
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH022455
GA
Other
Enumeration date
11/15/2005
Last updated
06/15/2008
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