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Individual

GOERGES ISSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 POWDER SPRINGS ST, MARIETTA, GA 30064-3452
(770) 422-1413
Mailing address
300 POWDER SPRINGS ST, MARIETTA, GA 30064-3452

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034236
GA

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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