Individual
EMILIA ODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4815
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015953
GA
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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