Individual
MRS. ELIZABETH EDGE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 S 2ND ST, COCHRAN, GA 31014-6805
(478) 934-3868
(478) 934-3874
Mailing address
102 S 2ND ST, COCHRAN, GA 31014-6805
(478) 934-3868
(478) 934-3874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH014912
GA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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