Individual
MR. KENNETH JACKSON DELAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
936 EAST WINTHROPE AVE, MILLEN, GA 30442
(478) 494-0032
(478) 982-1010
Mailing address
936 EAST WINTHROPE AVE, MILLEN, GA 30442
(478) 494-0032
(478) 982-1010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH13801
GA
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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