Individual
ASHLEY PETER NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 BUTLER ST, MIDWAY, GA 31320-4596
(912) 884-9255
Mailing address
PO BOX 3, MIDWAY, GA 31320-0003
(912) 884-9255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033048
GA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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