Individual
JERMILA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3687 HIGHWAY 5, DOUGLASVILLE, GA 30135-2385
(770) 577-8979
Mailing address
3687 HIGHWAY 5, DOUGLASVILLE, GA 30135-2385
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031695
GA
Other
Enumeration date
08/15/2020
Last updated
12/18/2022
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