Individual
EUGENE AFFUM KETEKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 FOREST BLVD STE 100, DAWSONVILLE, GA 30534-7878
(706) 216-4225
Mailing address
145 FOREST BLVD STE 100, DAWSONVILLE, GA 30534-7878
(706) 216-4225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH035052
GA
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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