Individual
JENNY DUNN MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(678) 843-7124
(678) 843-5033
Mailing address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(678) 843-7124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12686
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA12686
PHARMACY LICENSE
GA
Enumeration date
10/03/2018
Last updated
10/03/2018
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