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Individual

SHAWN HODGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
6095 PINE MOUNTAIN RD NW STE 108, KENNESAW, GA 30152-3332
(770) 421-1399
Mailing address
6095 PINE MOUNTAIN RD NW STE 108, KENNESAW, GA 30152-3332

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH023486
GA

Other

Enumeration date
09/25/2017
Last updated
09/25/2017
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