Individual
DR. GEORGIANNE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8800 E WT HARRIS BLVD, CHARLOTTE, NC 28227-2402
(704) 916-1892
Mailing address
8800 E WT HARRIS BLVD, CHARLOTTE, NC 28227-2402
(704) 916-1892
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12815
SC
183500000X
Pharmacist
Primary
20490
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12815
PHARMACIST LICENSE
SC
01
—
20490
PHARMACIST LICENSE
NC
Enumeration date
04/24/2014
Last updated
08/26/2021
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