Individual
CARLIS MCKENLEY HAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3109 E 1ST ST, VIDALIA, GA 30474-8830
(912) 537-7765
Mailing address
807 LOOP RD APT F1, VIDALIA, GA 30474-7706
(912) 339-3735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031713
GA
Other
Enumeration date
10/02/2019
Last updated
07/13/2020
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