Individual
KELLY MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 HOSPITAL DR, CORDELE, GA 31015-3275
(229) 276-3381
Mailing address
216 HOSPITAL DR, CORDELE, GA 31015-3275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029360
GA
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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