Individual
JIMMY CARTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
308 WESTSIDE DR, DOUGLAS, GA 31533-3530
(912) 384-0693
(912) 383-8428
Mailing address
308 WESTSIDE DR, DOUGLAS, GA 31533-3530
(912) 384-0693
(912) 383-8428
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH011294
GA
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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