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Individual

WESLEY EARNEST FISCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
303 CHARLIE WATTS DR, DALLAS, GA 30157-4907
(770) 443-4886
Mailing address
303 CHARLIE WATTS DR, DALLAS, GA 30157-4907
(770) 443-4886

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RPH31437
GA

Other

Enumeration date
12/27/2018
Last updated
12/21/2022
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