Individual
MR. JOHN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2688 HIGHWAY 411 SE, FAIRMOUNT, GA 30139-2924
(706) 337-5541
(706) 337-5461
Mailing address
218 OLD CASS WHITE RD NW, CARTERSVILLE, GA 30121-4724
(770) 547-3205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12389
GA
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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