Individual
HUGH BURCH FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
388 EUHARLEE RD SW, EUHARLEE, GA 30120-6111
(770) 361-3144
Mailing address
388 EUHARLEE RD SW, EUHARLEE, GA 30120-6111
(770) 361-3144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12359
GA
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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