Individual
KELSI SIERRA GARNTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 CENTRAL DR, EAST DUBLIN, GA 31027-7414
(478) 272-8024
Mailing address
8275 S MARCUS ST, WRIGHTSVILLE, GA 31096-5803
(478) 290-2247
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029438
GA
Other
Enumeration date
08/21/2016
Last updated
08/21/2016
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