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Individual

CARLA L BONNER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
405 CARLTON RD, PALMETTO, GA 30268-1052
(770) 463-4031
(770) 463-4946
Mailing address
8590 HEARN RD, PALMETTO, GA 30268-2339
(770) 463-0313

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019578
GA

Other

Enumeration date
04/14/2006
Last updated
07/08/2007
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