Individual
DR. KELLEY ENTREKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
116 BUCHANAN ST N, BREMEN, GA 30110-1606
(770) 537-2364
(770) 537-3032
Mailing address
116 BUCHANAN ST N, BREMEN, GA 30110-1606
(770) 537-2364
(770) 537-3032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019184
GA
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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