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Individual

MR. KWAMBI DOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1544 PIEDMONT RD NE, ATLANTA, GA 30324-5018
(404) 724-0932
(404) 724-0936
Mailing address
1544 PIEDMONT RD NE, ATLANTA, GA 30324-5018

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
012563
AL
183500000X
Pharmacist
Primary
019455
GA

Other

Enumeration date
01/14/2013
Last updated
01/14/2013
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