Individual
MR. KENNETH H. CHAFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
645 RUSSELL RD, LAWRENCEVILLE, GA 30043-3637
(770) 682-5512
(770) 962-7626
Mailing address
645 RUSSELL RD, LAWRENCEVILLE, GA 30043-3637
(770) 682-5512
(770) 962-7626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013628
GA
Other
Enumeration date
03/04/2011
Last updated
11/11/2012
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