Individual
JA'TIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 ADAIR AVE SE, ATLANTA, GA 30315-4339
(678) 768-3935
Mailing address
86 ADAIR AVE SE, ATLANTA, GA 30315-4339
(678) 768-3935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028843
GA
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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