Individual
JENNIFER C BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 OLD 41 HWY NW, KENNESAW, GA 30152-4480
(770) 426-6860
Mailing address
1635 OLD 41 HWY NW, KENNESAW, GA 30152-4480
(770) 426-6860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023140
GA
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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