Individual
KIM DAVID RAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
150 STONEHAVEN DR, FAYETTEVILLE, GA 30215-2967
(678) 378-3300
(901) 284-0113
Mailing address
150 STONEHAVEN DR, FAYETTEVILLE, GA 30215-2967
(678) 378-3300
(901) 284-0113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
040314
MO
183500000X
Pharmacist
Primary
RPH016377
GA
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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