Fletcher, Charlene
Fletcher, Charlene is an sole proprietor health care provider with primary practice located at 214 18Th St E Suite A, Tifton GA 31794-3512. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Fletcher, Charlene can be contacted via phone (229) 388-1666.Contact Information
Primary practice address
214 18Th St E Suite A
Tifton GA 31794-3512
Phone: (229) 388-1666
Fax: (229) 388-1391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 15733 | Georgia |
Profile Details
| NPI number | 1912063074 |
|---|---|
| LBN Legal business name | Fletcher, Charlene |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912063074 | NPPES |
| Georgia | MEDICAID | 00587397A |
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