Individual
GEORGE RANDALL KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
298 MEDICAL CT, OGLETHORPE, GA 31068
(478) 472-2040
(478) 472-9822
Mailing address
114 N VALHALLA CT, CORDELE, GA 31015-9308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012172
GA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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