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Individual

ANDRIA FETTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5500 ABERCORN ST, SUITE 2, SAVANNAH, GA 31405-6913
(912) 353-1266
(912) 353-1273
Mailing address
5500 ABERCORN ST, SUITE 2, SAVANNAH, GA 31405-6913
(912) 659-6190

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
024531
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024531
STATE PHARMACIST LISCENSE NUMBER
GA
Enumeration date
01/24/2013
Last updated
01/24/2013
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