Lawrence Joel Army Health Clinic

NPI 1265516470 - Clinic/Center - 261QM1102X

NPI Details
NPI 1265516470
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CARMEN RAKESTRAW CARMEN
Position STAFF PHARMACIST
Phone (404) 464-0304
Fax (404) 464-0303
Practice Location
1701 HARDEE AVE
FT MCPHERSON GA, 30330, US
Phone (404) 464-0304
Fax (404) 464-0303
Business Location
2156 SPINK ST NW
ATLANTA GA, 30318-1154, US
Phone (404) 792-5919
Fax
Toxanomy
Taxonomy Code 261QM1102X
License State Georgia
License Number 11620
Remove 1265516470 NPI Number
 

According to our database, Lawrence Joel Army Health Clinic NPI is 1265516470, taxonomy code is 261QM1102X and license number is 11620, license state is located at Georgia. Lawrence Joel Army Health Clinic physically located at 1701 Hardee Ave, Ft Mcpherson GA, 30330. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1265516470 NPI number is provided on an as is basis without warranty of any kind. 1265516470 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence Joel Army Health Clinic are for informational purposes only.