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Individual

MR. LARRY MICHAEL FREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4621 N SHALLOWFORD RD, DUNWOODY, GA 30338-6303
(770) 455-4681
Mailing address
4621 N SHALLOWFORD RD, DUNWOODY, GA 30338-6303
(770) 455-4681

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9729
GA

Other

Enumeration date
04/07/2011
Last updated
04/07/2011
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