Individual
KELSEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
341 VENTURE DR, BRUNSWICK, GA 31525-9723
(912) 264-2190
Mailing address
1193 JESSICA DR SE, DARIEN, GA 31305-4503
(912) 266-1457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033143
GA
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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