Individual
CIERRA GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
638 WATSON BAY, STONE MOUNTAIN, GA 30087-6122
(678) 552-5967
Mailing address
638 WATSON BAY, STONE MOUNTAIN, GA 30087-6122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030069
GA
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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