Individual
ANGELA JOLENE NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 LOGANVILLE HWY, LOGANVILLE, GA 30052-7715
(770) 277-5996
Mailing address
2720 LOGANVILLE HWY, LOGANVILLE, GA 30052-7715
(770) 277-5996
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029239
GA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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