Individual
DR. AMANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
412 JOHNSON ST SE, DAWSON, GA 39842-1523
(229) 995-2126
Mailing address
412 JOHNSON ST SE, DAWSON, GA 39842-1523
(229) 995-2126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027939
GA
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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