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Matthew Ban
NPI 1164015772 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1765 Jonesboro Rd
Mcdonough, GA 30253 - Phone
- (770) 914-5677
- Organisation at this address
- Sams East Inc
Sam'S Club OpticalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia