Organization
EAST GEORGIA PREVENTATIVE HEALTH SPECIALISTS, LLC
Active
Other names
East Georgia Compounding and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY DEAN STONE JR. RPH, CDM (OWNER)
(912) 685-7498
Entity
Organization
Contact information
Practice address
150 S LEROY ST STE A, METTER, GA 30439-4631
(912) 685-7498
(912) 685-3777
Mailing address
150 S LEROY ST STE A, METTER, GA 30439-4631
(912) 685-7498
(912) 685-3777
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHRE008829
GA
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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