Individual
AUSTIN DAVID MILLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 GA HIGHWAY 247 S, BONAIRE, GA 31005-3865
(478) 662-2987
Mailing address
510 GA HIGHWAY 247 S, BONAIRE, GA 31005-3865
(478) 273-6163
(478) 246-0205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033818
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RPH033818
—
GA
Enumeration date
08/05/2022
Last updated
08/05/2022
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