Individual
MR. BRAD M MOBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMOCIST
Contact information
Practice address
1003 VAN STREAT HIGHWAY, NICHOLLS, GA 31554
(912) 345-2444
Mailing address
4799 GEORGE DEEN RD, BROXTON, GA 31519-7112
(912) 359-2734
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPHO16539
GA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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