Individual
DARLA DANIEL MOUGHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 TOM HILL SR BLVD, MACON, GA 31210-1815
(478) 474-7597
Mailing address
220 TOM HILL SR BLVD, MACON, GA 31210-1815
(478) 474-5797
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
017581
GA
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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