Individual
JOHN HOLSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4363 HALLBROOK DR, PEACHTREE CORNERS, GA 30092-1612
(404) 790-1656
Mailing address
4363 HALLBROOK DR, PEACHTREE CORNERS, GA 30092-1612
(404) 790-1656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH022977
GA
1835N0905X
Nuclear Pharmacist
Primary
RPH022977
GA
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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