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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARMEN NICOLLE SEZONOV

Active Sole Proprietor

CARMEN NICOLLE SEZONOV is a Pharmacist Clinician (PhC) healthcare provider located in LOGANVILLE, Georgia. NPI 1508491390 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · LOGANVILLE, GA

Registration Details

NPI Number
1508491390
Provider Type
Individual
Gender
Female
NPI Issued
Mar 11, 2020 (6.4720818380411 yrs)
Last Updated
Mar 11, 2020
License
018478 (GA)
Sole Proprietor
Yes

Practice Information

Address
910 ATHENS HWY
LOGANVILLE, GA, 300524952
Browse GA providers · Browse ZIP 30052
Phone
7705541111
Fax
7705548717
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in LOGANVILLE, GA

Name Credential NPI
GAYLE M TANENBAUM BS, RPH 1215326707
DEEDEE MILLER PHARMD 1649802406
MONICA MCCULLERS WALKER 1043832074
CHRISTY DARLENE CHERRY R.PH. 1194333435
LISA MARIE SLAUGHTER R.PH. 1881202216
JEFFREY SLADE JOHNSON 1225647258
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.