Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Oct 8, 2018
License(s)
23740 (MD), 031868 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 13 N TENNESSEE ST | Cartersville, GA 30120-3339 | 770-386-2417 |
| LOCATION | 13 N TENNESSEE ST | Cartersville, GA 30120-3339 | 770-386-2417 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.