Individual
KIMESH BHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 JAMES MADISON CT, JEFFERSON, GA 30549-7137
(877) 855-7753
Mailing address
530 JAMES MADISON CT, JEFFERSON, GA 30549-7137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025490
GA
Other
Enumeration date
11/16/2011
Last updated
08/17/2020
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