Individual
FRED GILREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 TENNESSEE AVE., FORT OGLETHORPE, GA 30742
(423) 821-0038
Mailing address
129 CORDELL AVE, LA FAYETTE, GA 30728-3834
(423) 580-3259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8453
TN
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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