Individual
EVELYN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 GENERAL DANIEL AVE N, DANIELSVILLE, GA 30633-6910
(706) 795-2135
Mailing address
380 GENERAL DANIEL AVE N, DANIELSVILLE, GA 30633-6910
(706) 795-2135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029484
GA
Other
Enumeration date
02/12/2021
Last updated
12/20/2022
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