Individual
EKTA NAYEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2158 HIGHWAY 20 W, MCDONOUGH, GA 30253-7205
(770) 898-6731
Mailing address
564 CAMANO WAY, MCDONOUGH, GA 30253-8378
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RPH030725
GA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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