Individual
HIRAM DOUGLAS KEITH COFFEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
430 N 3RD AVE, CHATSWORTH, GA 30705-2540
(706) 695-0444
Mailing address
176 STAFFORD RD, CHATSWORTH, GA 30705-5760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13963
GA
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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