Stanley, Carl Lake
Stanley, Carl Lake is an sole proprietor health care provider with primary practice located at 240 Milledgeville Hwy , Gordon GA 31031-3827. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Stanley, Carl Lake can be contacted via phone (478) 628-2425.Contact Information
Primary practice address
240 Milledgeville Hwy
Gordon GA 31031-3827
Phone: (478) 628-2425
Fax: (478) 628-2263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 10890 | Georgia |
Profile Details
| NPI number | 1730101353 |
|---|---|
| LBN Legal business name | Stanley, Carl Lake |
| Credentials | RPH, CDM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jan 28th, 2010 - about 16 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.
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