Search › Georgia › 183500000X

Paris Street, RPH

NPI 1548605207 · on the registry since 2013

Practice

Address
638 Haralson Dr Sw
Lilburn, GA 30047
Phone
(770) 596-9322
Fax
(770) 225-1889

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-07

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