Individual
JACQUELINE KINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4345 S COBB DR SE, SMYRNA, GA 30080-6331
(770) 438-5042
(770) 433-8617
Mailing address
4345 S COBB DR SE, SMYRNA, GA 30080-6331
(770) 438-5042
(770) 433-8617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018272
GA
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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