Individual
JENNA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1221 PLAZA AVE STE C, EASTMAN, GA 31023-6251
(478) 374-6670
(478) 374-6674
Mailing address
1221 PLAZA AVE STE C, EASTMAN, GA 31023-6251
(478) 374-6670
(478) 374-6674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024833
GA
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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