Individual
JOHN GERALD HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
101 N MAIN ST, MOULTRIE, GA 31768-3863
(229) 985-6725
(229) 985-5600
Mailing address
202 GARDENIA DR, MOULTRIE, GA 31768-6730
(229) 985-9154
(229) 985-5600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11819
GA
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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