Individual
ATHBAH AL-GURAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 HIGHWAY 441 S, CLAYTON, GA 30525-7607
(706) 782-3039
Mailing address
7065 DEVONHALL WAY, JOHNS CREEK, GA 30097-7129
(405) 351-0720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH30058
GA
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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