Individual
MR. CLIFFORD STEWART HURST I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2720 HIGHWAY 42 N, MCDONOUGH, GA 30253-4301
(678) 432-9450
(678) 432-3029
Mailing address
2720 HIGHWAY 42 N, MCDONOUGH, GA 30253-4301
(678) 432-9450
(678) 432-3029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022711
GA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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