DR. Kaitlan Mansour

NPI #1720683519 in Hiram, Georgia

Provider Information

NPI Number: 1720683519
Entity Type: Individual
Name: DR. Kaitlan Mansour
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 1, 2020
Last Updated: Dec 1, 2020

Practice Location

Address: 5220 JIMMY LEE SMITH PKWY STE 118
City: Hiram
State: Georgia
ZIP Code: 30141-2780
Phone: (770) 222-1421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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