Individual
JULIE WAYCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-7763
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-7763
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11515
SC
183500000X
Pharmacist
22838
NC
183500000X
Pharmacist
RPH024632
GA
1835N0905X
Nuclear Pharmacist
RPH024632
GA
Other
Enumeration date
03/28/2014
Last updated
11/06/2014
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