Individual
MRS. JENNIFER BROCK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S 8TH ST, GRIFFIN, GA 30224-4213
(770) 229-6910
Mailing address
601 S 8TH ST, GRIFFIN, GA 30224-4213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17199
GA
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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