Individual
JEANNIE THOMPSON BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6102 BANKS ST, LULA, GA 30554-5114
(770) 869-3616
(770) 869-9080
Mailing address
6102 BANKS ST, LULA, GA 30554-5114
(770) 869-3616
(770) 869-9080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18222
GA
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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