Individual
GAYNELL WILLIAMS GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9465 HIGHWAY 5, DOUGLASVILLE, GA 30135-1509
(678) 715-8494
(678) 715-8504
Mailing address
5147 LAKECOVE CT, DOUGLASVILLE, GA 30135-7656
(504) 621-9774
(678) 391-2851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13480
LA
183500000X
Pharmacist
Primary
RPH022934
GA
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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