Individual
DR. CARLTON WENDELL DURRENCE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
15214 US HIGHWAY 301, GLENNVILLE, GA 30427
(912) 645-3224
Mailing address
15214 US HIGHWAY 301, GLENNVILLE, GA 30427-8308
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH013805
GA
Other
Enumeration date
06/16/2018
Last updated
06/16/2018
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