Individual
MR. ERNEST LEE GILSTRAP JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
411 N WEST ST, RIVER PLAZA, BAINBRIDGE, GA 39817-3677
(229) 246-0472
Mailing address
411 N WEST ST, RIVER PLAZA, BAINBRIDGE, GA 39817-3677
(229) 246-0472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011491
GA
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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