Individual
AMANDA TANNER ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
342 INDUSTRIAL BLVD, SUITE A, HAWKINSVILLE, GA 31036-2106
(478) 783-1515
(478) 783-1404
Mailing address
PO BOX 997, HAWKINSVILLE, GA 31036-0997
(478) 783-1515
(478) 783-1404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018031
GA
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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