Individual
MS. DEBORAH JEAN SHANER GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 POOLER PKWY, POOLER, GA 31322-5171
(912) 748-5170
Mailing address
6409 POINSETT WAY, POOLER, GA 31322-5522
(540) 207-1588
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHTC056411
GA
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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