Individual
MR. GARY L. BIVINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(404) 851-6270
(404) 303-3323
Mailing address
3805 HEDGECLIFF CT, ALPHARETTA, GA 30022-7116
(770) 740-1810
(770) 740-9371
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014009
GA
Other
Enumeration date
09/21/2005
Last updated
07/08/2007
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