Individual
CHARLES MAX LESSLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 POOLER PKWY, POOLER, GA 31322-5171
(912) 748-5170
Mailing address
500 POOLER PKWY, POOLER, GA 31322-5171
(912) 748-5170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
36588
SC
183500000X
Pharmacist
Primary
RPH029159
GA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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