Individual
MRS. JAELYN L BINGHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1000 JOHNSON FERRY RD NE, NORTHSIDE HOSPITAL PHARMACY, ATLANTA, GA 30342-1606
(404) 303-3519
(404) 851-8610
Mailing address
4678 THREE SPRINGS CT, MARIETTA, GA 30062-6351
(770) 518-5622
(404) 851-8610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH018691
GA
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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