Individual
JACOB CORBIT ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3839 MUNDY MILL RD, OAKWOOD, GA 30566-3415
(770) 532-5772
(770) 532-5828
Mailing address
3839 MUNDY MILL RD, OAKWOOD, GA 30566-3415
(770) 532-5772
(770) 532-5828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH035779
GA
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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