Individual
DR. JIMMY LEE LOUDERMILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
150 CLEVELAND RD, BOGART, GA 30622-1701
(180) 081-8648
Mailing address
945 COLLEGE AVE, UNIT C3, ATHENS, GA 30601-2616
(706) 621-3169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012639
OR
Other
Enumeration date
08/16/2011
Last updated
06/11/2014
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