Individual
CHARLENE ANN MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1462 MONTREAL RD, TUCKER, GA 30084
(770) 934-0000
Mailing address
497 PRINCE OF WALES, STONE MOUNTAIN, GA 30083-6127
(770) 934-0000
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PHTC007971
GA
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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