Charters, Lorelei Mercedes
Charters, Lorelei Mercedes is an individual health care provider with primary practice located at 516 W Hwy 80 , Garden City GA 31408-3108. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Charters, Lorelei Mercedes can be contacted via phone (912) 966-1416.Contact Information
Primary practice address
516 W Hwy 80
Garden City GA 31408-3108
Phone: (912) 966-1416
Fax: (912) 966-1417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 016448 | Georgia |
Profile Details
| NPI number | 1790077170 |
|---|---|
| LBN Legal business name | Charters, Lorelei Mercedes |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2011 |
| Last updated | May 4th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790077170 | NPPES |
| Georgia | Other | 016448 | STATE LICENSE NUMBER |
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