Individual
MR. EPHYM FREEMAN BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5100 RIVER RD, COLUMBUS, GA 31904-5841
(706) 317-2583
(706) 317-2587
Mailing address
5100 RIVER RD, COLUMBUS, GA 31904-5841
(706) 317-2583
(706) 317-2587
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8967
GA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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