Nhan Ai Thi Ta
NPI #1063016780 in Stone Mountain, Georgia
Provider Information
- NPI Number
- 1063016780
- Entity Type
- Individual
- Name
- Nhan Ai Thi Ta
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 23, 2020
- Last Updated
- Nov 23, 2020
Practice Location
- Address
- 1140 N HAIRSTON RD
- City
- Stone Mountain
- State
- Georgia
- ZIP Code
- 30083-5800
- Phone
- (404) 292-0484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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