Individual
MR. GARTRELL HIRAM THURMOND JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
740 PRINCE AVE, ATHENS, GA 30606-5908
(706) 548-4444
(706) 548-2193
Mailing address
670 JEFFERSON RIVER RD, ATHENS, GA 30607-1616
(706) 548-2011
(706) 548-2193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8728
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8728
STATE LICENSE
GA
Enumeration date
04/20/2006
Last updated
07/08/2007
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