Individual
JYOTI SHRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 PEACHTREE CENTER AVE NE, ATLANTA, GA 30303-1216
(866) 787-6341
Mailing address
5655 GROVE PLACE XING SW, LILBURN, GA 30047-8600
(404) 431-9566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017662
GA
183500000X
Pharmacist
33848
TX
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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