MR. Jack Edward Funderburk
NPI #1346530847 in Moultrie, Georgia
Provider Information
- NPI Number
- 1346530847
- Entity Type
- Individual
- Name
- MR. Jack Edward Funderburk
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Apr 18, 2011
- Last Updated
- Apr 18, 2011
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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