Individual
LORAY THOMAS CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
126 W CLINTON ST, GRAY, GA 31032-5322
(478) 986-3161
(478) 986-5056
Mailing address
PO BOX 1544, GRAY, GA 31032-1544
(478) 986-9652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15827
GA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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