Matthew Disharoon

NPI #1295150332 in Lavonia, Georgia

Provider Information

NPI Number: 1295150332
Entity Type: Individual
Name: Matthew Disharoon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 26, 2014
Last Updated: Feb 26, 2014

Practice Location

Address: 13387 JONES ST
City: Lavonia
State: Georgia
ZIP Code: 30553-1164
Phone: (706) 356-4153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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