Individual
JUSTIN TODD EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 ENTERPRISE WAY SE, MARIETTA, GA 30067-9220
(770) 635-3301
(770) 635-3302
Mailing address
1750 ENTERPRISE WAY SE, MARIETTA, GA 30067-9220
(770) 635-3301
(770) 635-3302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025643
GA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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