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Individual

MR. CHADWICK JASON BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
162 OCILLA HWY, BUILDING C, FITZGERALD, GA 31750-3744
(229) 423-2039
(229) 424-0339
Mailing address
PO BOX 302, RHINE, GA 31077-0302
(229) 385-1875
(229) 424-0339

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH018308
GA

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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