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Individual

KYLE BENNETT MOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
308 HIGHWAY 441 S, CLAYTON, GA 30525-5453
(706) 782-2722
Mailing address
308 HIGHWAY 441 S, CLAYTON, GA 30525-5453

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033346
GA

Other

Enumeration date
05/16/2022
Last updated
05/16/2022
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