Individual
ALLISON WISE BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
959 BIG A RD, TOCCOA, GA 30577-6026
(706) 886-6876
Mailing address
959 BIG A RD, TOCCOA, GA 30577-6026
(706) 886-6876
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16804
GA
Other
Enumeration date
01/19/2021
Last updated
01/20/2021
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