Individual
MR. JULIAN BRUCE HINTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
616 W FOREST AVE, JACKSON, TN 38301-3902
(731) 422-0232
Mailing address
121 SILVER LEAF DR, JACKSON, TN 38305-6650
(731) 668-7982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C-716
TN
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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