Individual
JIM TOM WALDROP III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
733 E FORSYTH ST, AMERICUS, GA 31709-3718
(229) 924-6670
Mailing address
733 E FORSYTH ST, AMERICUS, GA 31709-3718
(229) 924-6670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029528
GA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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