Individual
MR. JOHN WAYNE WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1591 BRADLEY PARK DR, T-1179, COLUMBUS, GA 31904-3071
(706) 327-8201
(706) 327-8201
Mailing address
1591 BRADLEY PARK DR, T-1179, COLUMBUS, GA 31904-3071
(706) 327-8201
(706) 327-8201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH010053
GA
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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