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Individual

DR. KATIE BLALOCK MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
4519 DALLAS ACWORTH HWY, DALLAS, GA 30132-7675
(770) 443-4988
Mailing address
4519 DALLAS ACWORTH HWY, DALLAS, GA 30132-7675
(770) 443-4988

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024939
GA

Other

Enumeration date
09/13/2011
Last updated
09/13/2011
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