DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Suppliers at Myrtle Blvd, Gracewood, GA

License number
Georgia PHH004147
Category
Suppliers
Type
Long Term Care Pharmacy
Owner
Name: MR. PAUL BROCK
Title: REGIONAL HOSPITAL ADMINISTRATOR
Phone: (706) 790-2030
Address
Address
100 Myrtle Blvd, Gracewood, GA 30812
National Provider ID: 1992036909
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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