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Individual

STEPHEN SHEARER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH, MS

Contact information

Practice address
132 HOLLY RESERVE PKWY, CANTON, GA 30114-8861
(770) 331-8944
Mailing address
132 HOLLY RESERVE PKWY, CANTON, GA 30114-8861
(770) 331-8944

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH017364
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH17364
PHARMACY LICENCE
Enumeration date
02/28/2017
Last updated
02/28/2017
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