Individual
GARY PEEBLES BURCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1061 HARMON AVE, WINN ARMY COMMUNITY HOSPITAL, FT STEWART, GA 31314-5604
(912) 435-6040
Mailing address
200 FRASER ST, HINESVILLE, GA 31313-3709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018145
GA
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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