Individual
MRS. KELLI BASS MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
218 S MAIN ST, MADISON, GA 30650-1303
(706) 342-4141
(706) 342-3297
Mailing address
218 S MAIN ST, MADISON, GA 30650-1303
(706) 342-4141
(706) 342-3297
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-022020
GA
Other
Enumeration date
08/08/2009
Last updated
07/11/2016
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