Individual
DWAYNE R RAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
504 N LAUREL ST, SPRINGFIELD, GA 31329-6814
(912) 754-6444
(912) 754-1704
Mailing address
4475 CLYO KILDARE RD, CLYO, GA 31303-2421
(912) 754-1248
(912) 754-1704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17500
GA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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