OrganizationActive
Kaiser Foundation Health Plan of Georgia, Inc.
NPI 1861817017 · Clinic Pharmacy · Jonesboro, GA
Provider details
- NPI number
- 1861817017
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Authorized official
- Diane Sanders, Pharmacy Compliance Manager
Practice location
2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500
Phone: (770) 603-4242
Fax: (770) 603-4243
Mailing address
2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500
Registry dates
- Enumerated
- 2014-02-25
- Last updated
- 2021-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.