Individual
KOMAL BHUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 MOUNT VERNON RD STE 100, ATLANTA, GA 30338-4259
(770) 671-2797
Mailing address
1610 MOUNT VERNON RD STE 100, ATLANTA, GA 30338-4259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH035578
GA
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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