Individual
MR. ANTHONY CHAD HETHCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
305 E LONG ST, CLAXTON, GA 30417-1411
(912) 739-9393
Mailing address
PO BOX 577, CLAXTON, GA 30417-0577
(912) 739-9393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH017487
GA
Other
Enumeration date
09/20/2006
Last updated
06/19/2017
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