Individual
ATEM LUCY EBANGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 MARIETTA HWY # 507273, CANTON, GA 30114-2304
(770) 479-1806
Mailing address
200 GRAY TRL, ACWORTH, GA 30101-7511
(651) 354-6650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
034238
GA
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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