Individual
KELLIE HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
564 CROSSTOWN DR, PEACHTREE CITY, GA 30269-2916
(770) 487-3749
Mailing address
564 CROSSTOWN DR, PEACHTREE CITY, GA 30269-2916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033705
GA
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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