Pattillo, Jason Lawrence

Pattillo, Jason Lawrence is an individual health care provider with primary practice located at 1930 Scenic Hwy N , Snellville GA 30078-2150. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Pattillo, Jason Lawrence can be contacted via phone (770) 972-4709.

Contact Information

Primary practice address
1930 Scenic Hwy N Snellville GA 30078-2150
Phone: (770) 972-4709
Fax: (770) 972-8367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH020529 Georgia

Profile Details

NPI number 1760765432
LBN Legal business name Pattillo, Jason Lawrence
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2011
Last updated Sep 20th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760765432 NPPES
Georgia Other RPH020529 STATE LICENSE NUMBER

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