Individual
MR. BRANT ZAUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1803 KNIGHT AVE, WAYCROSS, GA 31501-8018
(912) 285-4630
Mailing address
2746 SEMINOLE TRL, WAYCROSS, GA 31503-4106
(912) 282-3775
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025717
GA
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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