Individual
KENNETH ALAN BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
18 COLLEGE AVE, ELBERTON, GA 30635-1740
(706) 283-8228
Mailing address
335 WOODPECKER PT, DANIELSVILLE, GA 30633-5235
(229) 460-0177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH016051
GA
Other
Enumeration date
06/05/2019
Last updated
12/20/2022
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