Individual
COURTLYN CHRISTANNA FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2201 HWY 41 N, TIFTON, GA 31794
(229) 386-9252
(229) 386-9378
Mailing address
2201 HWY 41 N, TIFTON, GA 31794
(229) 386-9252
(229) 386-9378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
030641
GA
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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