Individual
JOHN EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
615 LOVE AVE, TIFTON, GA 31794-4405
(229) 382-5650
Mailing address
302 26TH ST W, TIFTON, GA 31794-2813
(229) 382-7635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH0009244
GA
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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