Individual
MR. ANDRE VILLIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 MOTE CROSSING RD, COVINGTON, GA 30016-5253
(770) 710-1342
Mailing address
75 MOTE CROSSING RD, COVINGTON, GA 30016-5253
(770) 710-1342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033303
GA
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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