Individual
JUSTIN MARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 MARIETTA HWY, CANTON, GA 30114-2303
(678) 880-0575
Mailing address
5341 W JONES BRIDGE RD, NORCROSS, GA 30092-1630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026130
GA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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