Organization
NEW START TREATMENT, LLC
Active
Other names
New Start treatment, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE MICHAEL JOHNSON PHARMACIST (PHARMACIST)
(706) 646-2095
Entity
Organization
Contact information
Practice address
1615 HIGHWAY 19 N, USER, THOMASTON, GA 30286-2277
(706) 646-2095
Mailing address
1615 HIGHWAY 19 NORTH, 1615 HIGHWAY 19 NORTH, THOMASTON, GA 30286
(706) 646-2095
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PH000059
GA
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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