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Organization

I.V. CARE OF EAST GEORGIA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAROLD M. KEMP PHARMACIST (MANAGER)
(912) 739-0673
Entity
Organization

Contact information

Practice address
107 S DUVAL ST, B, CLAXTON, GA 30417-2029
(912) 739-0673
(912) 739-1125
Mailing address
PO BOX 830, CLAXTON, GA 30417-0830
(912) 739-0673

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007174
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00455925A
GA
Enumeration date
02/16/2007
Last updated
08/22/2020
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