Individual
MR. ANTHONY LEE KICKLIGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
214 PROFESSIONAL CIR STE B, SAINT MARYS, GA 31558-3783
(912) 673-8220
(912) 673-7035
Mailing address
913 SEAGROVE ST, SAINT MARYS, GA 31558-8516
(912) 673-8220
(912) 673-7035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018501
GA
Other
Enumeration date
12/04/2010
Last updated
12/04/2010
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