Mychal Outlaw, | |
3401 Northside Pkwy Nw, Atlanta, GA 30327-2323 | |
(404) 261-7123 | |
Not Available |
Full Name | Mychal Outlaw |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 3401 Northside Pkwy Nw, Atlanta, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811593668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | RPH29282 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mychal Outlaw, 3135 Dunton St Se, Smyrna, GA 30080-4458 Ph: () - | Mychal Outlaw, 3401 Northside Pkwy Nw, Atlanta, GA 30327-2323 Ph: (404) 261-7123 |
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