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Individual

AUSTIN TULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2260 HOLLY SPRINGS PKWY STE 180, CANTON, GA 30115-9580
(770) 704-6161
(770) 704-6171
Mailing address
2260 HOLLY SPRINGS PKWY STE 180, CANTON, GA 30115-9580
(770) 704-6161
(770) 704-6171

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027151
GA
1835P1300X
Psychiatric Pharmacist
4150329
GA

Other

Enumeration date
05/28/2018
Last updated
05/28/2018
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