Individual
BRIAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1620 PRINCE AVE, ATHENS, GA 30606-6008
(706) 433-0933
(706) 433-0934
Mailing address
1620 PRINCE AVE, ATHENS, GA 30606-6008
(706) 308-3579
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH019190
GA
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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