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Individual

BARRY EDSEL BEARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5304 THOMPSON BRIDGE RD, MURRAYVILLE, GA 30564-1941
(770) 534-2245
(770) 534-2093
Mailing address
929 HUGH STOWERS RD, DAWSONVILLE, GA 30534-5334
(706) 265-4664
(770) 534-2093

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015111
GA

Other

Enumeration date
11/17/2006
Last updated
07/08/2007
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