Individual
CHARLES FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 W HILL ST, THOMSON, GA 30824-2110
(706) 595-6666
Mailing address
348 OLD SALEM WAY, AUGUSTA, GA 30907-9078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028523
GA
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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