Individual
JOHNNY KENNETH CREEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 OLD DAWSON RD, ALBANY, GA 31707-1599
(229) 888-3530
Mailing address
175 QUAIL VALLEY DR., LEESBURG, GA 31763
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9370
AL
183500000X
Pharmacist
Primary
RPH023491
GA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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