Individual
KENITRA KIAMA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
7360 SKIDAWAY RD, SAVANNAH, GA 31406-4265
(912) 354-3816
Mailing address
99 GATEWAY BLVD W UNIT 1431, SAVANNAH, GA 31419-7541
(941) 524-2272
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHTC057415
GA
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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