Individual
SENECA NETTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1924 MOORE RD, AUGUSTA, GA 30906-3778
(678) 900-3094
Mailing address
1924 MOORE RD, AUGUSTA, GA 30906-3778
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHTC085803
GA
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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