Individual
MR. LARRY L. BATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2001 PIONEER ST, WAYCROSS, GA 31501-6249
(912) 283-1646
Mailing address
2001 PIONEER ST, WAYCROSS, GA 31501-6249
(912) 283-1646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9356
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00219051A
—
GA
Enumeration date
04/25/2006
Last updated
07/08/2007
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