Individual
AMBER FASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3330 INNER PERIMETER RD, VALDOSTA, GA 31602-7063
(229) 671-9840
Mailing address
3330 INNER PERIMETER RD, VALDOSTA, GA 31602-7063
(229) 671-9840
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031183
GA
Other
Enumeration date
08/14/2020
Last updated
08/28/2024
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