Individual
HEATHER HALL GOURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
306 W 1ST ST, VIDALIA, GA 30474-3369
(912) 537-3049
(912) 537-3040
Mailing address
306 W 1ST ST, VIDALIA, GA 30474-3369
(912) 537-3049
(912) 537-3040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17964
GA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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