The Longstreet Clinic Pc

NPI 1053422428 - Pharmacy - 333600000X

NPI Details
NPI 1053422428
Enumeration Date 08/31/2006
Last Updated 11/23/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name AMELIA LOWE AMELIA
Position CEO
Phone (770) 533-6680
Fax (770) 533-6681
Practice Location
725 JESSE JEWELL PKWY SE
GAINESVILLE GA, 30501-3834, US
Phone (770) 533-6680
Fax (770) 533-6681
Business Location
PO BOX 658
GAINESVILLE GA, 30503-0658, US
Phone (770) 718-1122
Fax (770) 535-7445
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, The Longstreet Clinic Pc NPI is 1053422428, taxonomy code is 333600000X The Longstreet Clinic Pc physically located at 725 Jesse Jewell Pkwy Se, Gainesville GA, 30501-3834. NPI Number 1033115704 has the healthcare provider type.

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1053422428 NPI number is provided on an as is basis without warranty of any kind. 1053422428 is maintained by the National Plan & Provider Enumeration System. The contents of The Longstreet Clinic Pc are for informational purposes only.