Individual
CHARLES EDWARD THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
5337 CROSS CREEK CV, ACWORTH, GA 30102-7509
(770) 591-2282
Mailing address
5337 CROSS CREEK CV, ACWORTH, GA 30102
(770) 591-2282
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH012278
GA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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