Individual
MRS. DEBRA B CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
118 ATHENS ST, HARTWELL, GA 30643-1851
(706) 376-5801
(706) 376-8687
Mailing address
PO BOX 543, HARTWELL, GA 30643-0543
(706) 376-6901
(706) 376-8687
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12540
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH012540
STATE PHARMACIST LICENSE
GA
Enumeration date
10/23/2006
Last updated
02/01/2010
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