Individual
MR. DANIEL MICHAEL TOOTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
305 E LONG ST, CLAXTON, GA 30417-1411
(912) 739-9393
(912) 739-9033
Mailing address
PO BOX 577, CLAXTON, GA 30417-0577
(912) 739-9393
(912) 739-9033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12310
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00745775C
—
GA
Enumeration date
08/29/2006
Last updated
07/08/2007
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