Individual
DEIRDRE JOI WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 DUNWOODY PARK STE 102, ATLANTA, GA 30338
(678) 441-0045
(678) 441-0079
Mailing address
5 DUNWOODY PARK STE 102, ATLANTA, GA 30338
(678) 441-0045
(678) 441-0079
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH017511
GA
1835G0303X
Geriatric Pharmacist
Primary
RPH017511
GA
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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