Healthcare Provider Details

I. General information

NPI: 1164356846
Provider Name (Legal Business Name): GENA WOOD CRAMER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 NEWNAN CROSSING BLVD E
NEWNAN GA
30265-2406
US

IV. Provider business mailing address

45 BAY DR
NEWNAN GA
30263-5944
US

V. Phone/Fax

Practice location:
  • Phone: 678-552-6278
  • Fax:
Mailing address:
  • Phone: 770-301-7987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH017889
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: