Individual
MR. DAVID GAULTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Contact information
Practice address
6770 VETERANS PKWY, COLUMBUS, GA 31909-7201
(706) 653-9224
Mailing address
2268 FORTSON RD, FORTSON, GA 31808-7205
(706) 323-7330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
GA013813
GA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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