Individual
ANTHONY IRLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1544 BASS RD, MACON, GA 31210-7510
(478) 471-4494
(478) 471-4493
Mailing address
1544 BASS RD, MACON, GA 31210-7510
(478) 471-4494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029181
GA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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