Theron Glenn Fox JR.

NPI #1841304383 in Midway, Georgia

Provider Information

NPI Number
1841304383
Entity Type
Individual
Name
Theron Glenn Fox JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Aug 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
204 BUTLER AVE
City
Midway
State
Georgia
ZIP Code
31320
Phone
(912) 884-9255

Specialties & Taxonomy Codes

Specialty
Pharmacist

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