Individual
KELLI PEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
609 BLUEBIRD BLVD, FORT VALLEY, GA 31030-5082
(478) 825-0080
Mailing address
609 BLUEBIRD BLVD, FORT VALLEY, GA 31030-5082
(478) 825-0080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028164
GA
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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