Individual
JEFFREY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 VALLEY ST STE 100, BALL GROUND, GA 30107-4068
(177) 073-5616
Mailing address
470 VALLEY ST STE 100, BALL GROUND, GA 30107-4068
(177) 073-5616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH019304
GA
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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