Individual
GEO MARY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 GRAYSON HWY, GRAYSON, GA 30017-1245
(770) 237-5352
Mailing address
2668 BATELEUR CT, GRAYSON, GA 30017-7959
(404) 934-1595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033331
GA
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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