Individual
JAYCE NINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11800 WILLS RD STE 150, ALPHARETTA, GA 30009-2080
(844) 202-1615
Mailing address
12220 MEADOWS LN, JOHNS CREEK, GA 30005-7207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024089
GA
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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