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Individual

JORDAN KIDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
7530 ROSWELL RD, ATLANTA, GA 30350-4837
(678) 731-9235
Mailing address
2323 PIEDMONT RD NE, ATLANTA, GA 30324-3457

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
GA

Other

Enumeration date
07/28/2022
Last updated
07/28/2022
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