Individual
MR. ERIC J BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
492 FOREST GATE CIR, LAWRENCEVILLE, GA 30043-6808
(770) 237-2234
Mailing address
492 FOREST GATE CIR, LAWRENCEVILLE, GA 30043-6808
(770) 237-2234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH017557
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH017557
STATE LICENSE
GA
Enumeration date
08/14/2010
Last updated
12/23/2021
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