Individual
JEFFREY MICHAEL DURTHALER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7607 VAN EYCK WAY, ATLANTA, GA 30350-5020
(770) 713-8901
Mailing address
7607 VAN EYCK WAY, ATLANTA, GA 30350-5020
(770) 713-8901
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH019835
GA
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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