Individual
MR. JACK HAROLD MILLS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
803 N WILEY AVE, DONALSONVILLE, GA 39845-1121
(229) 524-2313
(229) 524-1202
Mailing address
PO BOX 232, 5111 MILLS RD., DONALSONVILLE, GA 39845-0232
(229) 524-2313
(229) 524-1202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009642
GA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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