Individual
MRS. JAN T. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
200 CRESCENT CENTER PKWY, TUCKER, GA 30084-7047
(770) 496-3523
Mailing address
1757 NOTTINGHAM DR, GAINESVILLE, GA 30501-2030
(770) 532-9094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10100
GA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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