Individual
JAMIE H FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1179 WEST AVE SW, CONYERS, GA 30012-5280
(770) 929-1414
Mailing address
1179 WEST AVE SW, CONYERS, GA 30012-5280
(770) 929-1414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025458
GA
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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