Individual
MICHAEL MCCORMICK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1061 HARMON AVE BLDG 302, FORT STEWART, GA 31314-5641
(912) 767-2672
Mailing address
1061 HARMON AVE BLDG 302, FORT STEWART, GA 31314-5641
(912) 767-2672
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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