Individual
CURL ORAL HAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10300 INDUSTRIAL BLVD NE, COVINGTON, GA 30014-1477
(770) 787-8164
Mailing address
2113 TORBAY DR, CONYERS, GA 30013-7429
(770) 880-5590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022443
GA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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