Individual
JAMIE NICOLE CARLYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1745 HIGHWAY 138 SE, CONYERS, GA 30013-5748
(770) 922-0447
Mailing address
1745 HIGHWAY 138 SE, CONYERS, GA 30013-5748
(770) 922-0447
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH024567
GA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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