Individual
DIANA DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 18TH ST NW, ATLANTA, GA 30363-1190
(678) 954-4266
Mailing address
1629 MAYBELL TRL, LAWRENCEVILLE, GA 30044-2074
(404) 966-7914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031829
GA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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