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Individual

GESTON GARNER EWING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
502 S GRANT ST, FITZGERALD, GA 31750-3312
(229) 423-9801
(229) 423-9496
Mailing address
502 S GRANT ST, FITZGERALD, GA 31750-3312
(229) 423-9801
(229) 423-9496

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
004374
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0025231A
GA
Enumeration date
07/27/2006
Last updated
07/08/2007
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