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Individual

DR. FLOYD JACKSON MOON II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
717 2ND ST W, TIFTON, GA 31794-4201
(229) 382-3711
(229) 387-7521
Mailing address
717 2ND ST W, TIFTON, GA 31794-4201
(229) 382-3711
(229) 387-7521

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029389
GA
1835N1003X
Nutrition Support Pharmacist
RPH029389
GA

Other

Enumeration date
04/06/2017
Last updated
02/28/2018
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