CARL BLAKE SOUTHERLAND

GAINESVILLE, GA
NPI1174110670
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH029710)
Enumeration Date2020-12-30
Last Update Date2020-12-30
Business Address
Dr. CARL BLAKE SOUTHERLAND PharmD
935 GREEN ST NW
GAINESVILLE, GA 30501-3325
Phone number: 770-532-6253
Mailing Address
Dr. CARL BLAKE SOUTHERLAND PharmD
935 GREEN ST NW
GAINESVILLE, GA 30501-3325
Phone number: 770-532-6253
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