Individual
DIANE M PROFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10930 CRABAPPLE RD, SUITE 7, ROSWELL, GA 30075-5813
(770) 992-4111
(770) 993-0329
Mailing address
10930 CRABAPPLE RD, SUITE 7, ROSWELL, GA 30075-5813
(770) 992-4111
(770) 993-0329
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14031
GA
183500000X
Pharmacist
PS20683
FL
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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