Individual
MRS. AMY HENDRICK MATISTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1755 HIGHWAY 34 EAST, SUITE 1400, NEWNAN, GA 30265
(710) 252-7500
(770) 254-3652
Mailing address
1755 HIGHWAY 34 EAST, SUITE 1400, NEWNAN, GA 30265
(710) 252-7500
(770) 254-3652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH017242
GA
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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