Individual
JACQUELINE HARPER WIEDERHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2400 N DRUID HILLS RD NE, ATLANTA, GA 30329-3211
(404) 267-0061
(404) 267-0061
Mailing address
2400 N DRUID HILLS RD NE, ATLANTA, GA 30329-3211
(404) 267-0061
(404) 267-0061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014679
GA
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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