Individual
LAURA MARIE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 MEMORIAL DR, WAYCROSS, GA 31501-1949
(912) 287-2277
Mailing address
1606 MEMORIAL DR, WAYCROSS, GA 31501-1949
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024798
GA
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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