Individual
MR. AUSTEN MARK JUNIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
2451 CUMBERLAND PKWY SE, ATLANTA, GA 30339-6136
(770) 437-7007
Mailing address
2451 CUMBERLAND PKWY SE, ATLANTA, GA 30339-6136
(770) 437-7007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHI016643
GA
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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