Individual
DR. LACEY KINCHELOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
1035 LOWER FAYETTEVILLE RD, NEWNAN, GA 30265-1132
(404) 272-4408
(401) 652-0181
Mailing address
220 BILL KENNEDY WAY SE APT A-135, ATLANTA, GA 30316-7214
(404) 272-4408
(401) 652-0181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029185
GA
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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