Individual
BRIE EDGERTON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
13202 CLEVELAND ST W, NAHUNTA, GA 31553-2875
(912) 462-3784
Mailing address
13202 CLEVELAND ST W, NAHUNTA, GA 31553-2875
(912) 462-3784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019522
GA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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