Individual
KELLY OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
13387 JONES ST, LAVONIA, GA 30553-1164
(706) 356-4153
(706) 356-2849
Mailing address
13387 JONES ST, LAVONIA, GA 30553-1164
(706) 356-4153
(706) 356-2849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026597
GA
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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