Joshua Timothy Mizelle

NPI #1952998163 in Statesboro, Georgia

Provider Information

NPI Number
1952998163
Entity Type
Individual
Name
Joshua Timothy Mizelle
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Dec 22, 2020
Last Updated
Dec 22, 2020

Practice Location

Address
4439 COUNTRY CLUB RD
State
Georgia
ZIP Code
30458-9188
Phone
(912) 489-7979

Specialties & Taxonomy Codes

Specialty
Pharmacist

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