Individual
MR. JILL ANN MATNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 N OAK STREET EXT, VALDOSTA, GA 31606
(229) 247-1571
Mailing address
2703 MOORE CROSSING RD, VALDOSTA, GA 31606-0681
(229) 247-1571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024187
GA
Other
Enumeration date
04/22/2007
Last updated
05/05/2011
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