Individual
MR. BRYAN GERALD WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
102 N SAGE STREET, STEWART'S DOWNTOWN DISCOUNT DRUGS, TOCCOA, GA 30577
(706) 886-3141
Mailing address
102 N SAGE STREET, STEWARTS DOWNTOWN DISCOUNT DRUGS, TOCCOA, GA 30577
(706) 886-3141
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH017329
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH017329
RPH017329
GA
Enumeration date
12/03/2008
Last updated
12/03/2008
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