Provider Demographics
NPI:1902939440
Name:HAUGHTON, DIONE MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DIONE
Middle Name:MARIE
Last Name:HAUGHTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:481 GLOUCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-2081
Mailing Address - Country:US
Mailing Address - Phone:770-914-6317
Mailing Address - Fax:678-432-9003
Practice Address - Street 1:1 N ZACK HINTON PKWY
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-2316
Practice Address - Country:US
Practice Address - Phone:770-914-6317
Practice Address - Fax:678-432-9003
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA022604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist