Individual
GAVIN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1247 W WALNUT AVE, DALTON, GA 30720-3958
(706) 428-9003
(706) 428-9007
Mailing address
1247 W WALNUT AVE, DALTON, GA 30720-3958
(706) 428-9003
(706) 428-9007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022142
GA
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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