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Individual

DR. BRYAN JOSEPH GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
15 LAUREL CANYON VILLAGE CIR, 118, CANTON, GA 30114-4469
(770) 479-3711
(770) 479-3777
Mailing address
15 LAUREL CANYON VILLAGE CIR, 118, CANTON, GA 30114-4469
(770) 479-3711
(770) 479-3777

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024776
GA

Other

Enumeration date
01/10/2013
Last updated
01/10/2013
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