Individual
CHARLES NOLAN DOOLEY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
101 RIVERSTONE VIS, SUITE 100, BLUE RIDGE, GA 30513-6648
(706) 258-2294
Mailing address
51 WEAVER DR, JEFFERSON, GA 30549-6754
(678) 963-8080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH017482
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017482
STATE OF GA
GA
01
—
13248
STATE OF SC
SC
Enumeration date
03/26/2007
Last updated
06/05/2013
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