Provider Demographics
NPI:1760511943
Name:EPPS, DAVID R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:EPPS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 TERRELL DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-4835
Mailing Address - Country:US
Mailing Address - Phone:706-614-9930
Mailing Address - Fax:706-363-8836
Practice Address - Street 1:1918 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:STATHAM
Practice Address - State:GA
Practice Address - Zip Code:30666-1875
Practice Address - Country:US
Practice Address - Phone:770-725-1122
Practice Address - Fax:770-725-1150
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA117961835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support