Daniel Southerland
NPI #1912432600 in East Ellijay, Georgia
Provider Information
- NPI Number
- 1912432600
- Entity Type
- Individual
- Name
- Daniel Southerland
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- May 1, 2017
- Last Updated
- May 1, 2017
Practice Location
- Address
- 192 1ST AVE
- City
- East Ellijay
- State
- Georgia
- ZIP Code
- 30540-8101
- Phone
- (706) 635-2241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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