Individual
JONAH LEVI STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1124 N PARK ST, CARROLLTON, GA 30117-2395
(678) 988-9216
Mailing address
1124 N PARK ST, CARROLLTON, GA 30117-2395
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034427
GA
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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