Individual
JEFFREY SCOTT JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
705 SOUTH MAIN ST, MOULTRIE, GA 31768
(229) 985-4137
(229) 890-5968
Mailing address
PO BOX 8, MOULTRIE, GA 31776-0008
(229) 985-4137
(229) 890-5968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19927
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19927
BOARD OF PHARMACY
GA
Enumeration date
10/05/2006
Last updated
07/08/2007
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