Individual
JONATHAN SELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
104 TOWN BLVD NE, A100, BROOKHAVEN, GA 30319-3146
(404) 233-7475
Mailing address
104 TOWN BLVD NE, A100, BROOKHAVEN, GA 30319-3146
(404) 233-7475
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026433
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH026433
GEORGIA BOARD OF PHARMACY
GA
Enumeration date
12/01/2014
Last updated
12/01/2014
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