Individual
ANDREA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
672 FURYS FERRY RD, MARTINEZ, GA 30907-8945
(706) 210-7505
Mailing address
672 FURYS FERRY RD, MARTINEZ, GA 30907-8945
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012287
SC
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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