Organization
MEDICINAL PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATASHA STALLWORTH PHARM D (OWNER)
(404) 904-4282
Entity
Organization
Contact information
Practice address
2443 CENTER POINTE CIR SW, ATLANTA, GA 30315-7309
(470) 344-4696
Mailing address
2443 CENTER POINTE CIR SW, ATLANTA, GA 30315-7309
(470) 344-4696
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
RPH26521
GA
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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