Individual
BORA NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 CUMMING HWY, SUGAR HILL, GA 30518-6112
(678) 546-4113
Mailing address
270 COLES HILL CT, JOHNS CREEK, GA 30022-6072
(404) 468-3714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034039
GA
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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