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Individual

MR. DAVID BAUGH GRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
770 PINE ST, SUITE 100, MACON, GA 31201-2173
(478) 745-0476
(478) 745-9808
Mailing address
770 PINE ST, SUITE 100, MACON, GA 31201-2173
(478) 745-0476
(478) 745-9808

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14495
GA

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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