Individual
KIRSTIE SHUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6055 HIGHWAY 124 W, HOSCHTON, GA 30548-5535
(706) 654-5775
Mailing address
210 EMILY DR SW, LILBURN, GA 30047-5279
(770) 609-6212
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028624
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982105102
—
GA
Enumeration date
02/22/2018
Last updated
04/26/2019
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