Individual
MRS. KIMBERLY HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. PH.
Contact information
Practice address
6111 HICKORY FLAT HWY, CANTON, GA 30115-7253
(770) 479-7038
Mailing address
304 SIXES WAY, CANTON, GA 30114-8129
(770) 720-0985
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH018191
GA
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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