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Individual

MR. JAMES MICHAEL DESORBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4769 S MAIN ST, ACWORTH, GA 30101-5339
(800) 736-7519
Mailing address
3859 HAMPTON CREST LN NW, KENNESAW, GA 30152-6991
(941) 320-4614

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023439
GA
1835G0303X
Geriatric Pharmacist
RPH023439
GA

Other

Enumeration date
12/04/2020
Last updated
12/04/2020
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