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Individual

DR. JORDAN WHITEHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
650 N COBB ST, MILLEDGEVILLE, GA 31061-2348
(478) 452-1222
Mailing address
650 N COBB ST, MILLEDGEVILLE, GA 31061-2348
(478) 452-1222

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030693
GA

Other

Enumeration date
11/16/2018
Last updated
11/16/2018
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