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Individual

MR. JOHANNES DANIEL SMIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
525 VALLEYWOOD DRIVE, TYRONE, GA 30290
(770) 487-4226
(678) 364-1221
Mailing address
525 VALLEYWOOD DRIVE, TYRONE, GA 30290
(770) 487-4226
(678) 364-1221

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023333
GA

Other

Enumeration date
05/31/2011
Last updated
05/31/2011
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