Individual
AMY DUNAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4341 OLD CLUB RD, MACON, GA 31210
(478) 365-0353
Mailing address
4341 OLD CLUB RD, MACON, GA 31210
(478) 365-0353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024779
GA
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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