Individual
BRAVONDA MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13775 US HIGHWAY 19 S, THOMASVILLE, GA 31792-5398
(229) 379-1612
Mailing address
13775 US 19 S, THOMASVILLE, GA 31792-5398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031648
GA
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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