Individual
CHRISTIAN DEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
895 HOLCOMB BRIDGE RD, ROSWELL, GA 30076-1954
(770) 993-0194
Mailing address
895 HOLCOMB BRIDGE RD, ROSWELL, GA 30076-1954
(770) 993-0194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029527
GA
Other
Enumeration date
01/28/2017
Last updated
12/01/2020
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