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Individual

DR. DAVID RUSTIN EVATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
195 TOM HILL SR BLVD, MACON, GA 31210-1816
(478) 757-6526
Mailing address
128 LYNNVIEW CT, MCDONOUGH, GA 30252-5756
(478) 954-0781

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029912
GA

Other

Enumeration date
07/15/2017
Last updated
07/15/2017
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