Individual
JANA CHALKLEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1367 DOUBLE CHURCHES RD, COLUMBUS, GA 31904-2601
(706) 641-8100
Mailing address
2200 FORTSON RD, FORTSON, GA 31808-7205
(706) 763-1103
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH021338
GA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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