Individual
MRS. KELLI STEPHANIE DURHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
230 DUNCAN DR, SAVANNAH, GA 31409-5102
(912) 315-4540
Mailing address
951 FOX HAVEN CT, HINESVILLE, GA 31313-4950
(912) 368-6658
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042247
MO
Other
Enumeration date
11/15/2005
Last updated
07/08/2007
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