Individual
HUGH GLENN CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
298 MEDICAL CT, OGLETHORPE, GA 31068
(478) 472-2040
Mailing address
622 ENGRAM ST, MONTEZUMA, GA 31063-1312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015316
GA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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