Individual
DANA GORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6236 OLD HIGHWAY 5, WOODSTOCK, GA 30188-2426
(770) 928-5536
(770) 928-5541
Mailing address
6236 OLD HIGHWAY 5, WOODSTOCK, GA 30188-2426
(770) 928-5536
(770) 928-5541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021857
GA
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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