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Individual

JOHN EDWARD CROWE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
503 SPRINGER CT, STATESBORO, GA 30461-4425
(912) 489-2311
Mailing address
503 SPRINGER CT, STATESBORO, GA 30461-4425
(912) 489-2311

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015713
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015713
LICENSE
GA
Enumeration date
02/12/2008
Last updated
02/12/2008
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