Individual
JENNIFER PROPHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1591 BRADLEY PARK DR, COLUMBUS, GA 31904-3071
(706) 327-8201
Mailing address
928 OAKWOOD DR, COLUMBUS, GA 31904-2482
(706) 617-4807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034719
GA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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