Individual
KARISA WILKS ZICKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3782 OLD US 41 N, VALDOSTA, GA 31602-6834
(229) 253-0067
Mailing address
3782 OLD US 41 N, VALDOSTA, GA 31602-6834
(229) 253-0067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14396
AL
183500000X
Pharmacist
Primary
25319
GA
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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