MICKIE ANTHONY

CANTON, GA
NPI1306397914
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  020140)
Additional Taxonomies183500000X Pharmacist
(Licence: CA  51363)
Enumeration Date2016-10-18
Last Update Date2016-10-18
Business Address
-- MICKIE ANTHONY
201 HOSPITAL RD
CANTON, GA 30114-2408
Phone number: 770-720-5272
Mailing Address
-- MICKIE ANTHONY
201 HOSPITAL RD
CANTON, GA 30114-2408
Phone number: