Individual
IESHA RANAE GONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 N DRUID HILLS RD NE, BROOKHAVEN, GA 30329-3109
(404) 248-1793
Mailing address
206 LONG LEAF WAY, DUBLIN, GA 31021-1680
(478) 595-0913
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033917
GA
Other
Enumeration date
04/25/2023
Last updated
08/29/2024
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