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Individual

MR. CHARLES EDWIN SCOTT JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
101 E LEE ST, P O B 430, DAWSON, GA 39842-1485
(229) 995-2131
Mailing address
540 E LEE ST, DAWSON, GA 39842-1557
(229) 995-3553

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH012037
GA

Other

Enumeration date
03/15/2007
Last updated
07/08/2007
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