Individual
CHARLES ERIC HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1193 FORSYTH ST, MACON, GA 31201-1735
(478) 746-8331
(478) 254-8926
Mailing address
1193 FORSYTH ST, MACON, GA 31201-1735
(478) 746-8331
(478) 254-8926
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026424
GA
Other
Enumeration date
11/03/2012
Last updated
11/03/2012
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