Individual
CHRISTY LEE BIVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 WASHINGTON ST, CLARKESVILLE, GA 30523-5618
(706) 754-4122
Mailing address
1235 WASHINGTON ST, CLARKESVILLE, GA 30523-5618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18117
GA
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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