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Individual

ARCHANA GHANTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
51 HIGHWAY 400 S, DAWSONVILLE, GA 30534-6833
(706) 216-2101
(706) 216-1303
Mailing address
3225 SAND HILL CT, CUMMING, GA 30041-5781
(770) 888-5642

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022473
GA

Other

Enumeration date
03/03/2011
Last updated
03/03/2011
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