Individual
GARY AUSTIN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5401 FAIRINGTON RD, LITHONIA, GA 30038-5113
(770) 593-4998
Mailing address
5401 FAIRINGTON RD, LITHONIA, GA 30038-5113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031993
GA
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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