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Organization
MEDICAL ARTS
Active
Organization
MEDICAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGH M CHANCY (R.PH.)
(229) 896-4564
Entity
Organization
Contact information
Practice address
307 N HUTCHINSON AVE, ADEL, GA 31620-2344
(229) 896-4564
Mailing address
205B E MAIN ST, HAHIRA, GA 31632-1121
(229) 794-3525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5354
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00003166A
—
GA
01
—
5354
STATE LICENCE #
GA
Enumeration date
06/20/2005
Last updated
05/20/2024
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