Individual
AZEEZAT BODUNRIN SHONIBARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 CENTERVILLE HWY, SNELLVILLE, GA 30039-6405
(770) 736-2157
Mailing address
1242 OVERVIEW DR, LAWRENCEVILLE, GA 30044-6272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022812
GA
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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