Individual
MR. HURTY LEE ANDERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314
(470) 891-6254
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314
(470) 891-6254
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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