Search › Georgia › 183500000X
Brenton Lake, PHARM.D
NPI 1538406590 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1120 15th St
2nd Floor, Room Bt2601
Augusta, GA 30912 - Phone
- (706) 446-1234
- Fax
- (706) 721-9505
- Organisation at this address
- Mppg, Inc.
Ashwins, Llc
Mcg Health, Inc
Mcg Health, Inc
Augusta UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,705
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- GA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-17
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