Individual
BONNIE B WIRSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
232 AMY CIR, FORT VALLEY, GA 31030-8330
(478) 825-3769
Mailing address
232 AMY CIR, FORT VALLEY, GA 31030-8330
(478) 825-3769
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9342
GA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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