Hurty Lee Anderson III
Individual provider Active NPI Pharmacy Technician · Fort Stewart, GA
NPI 1710360680 · NPPES record last updated Jul 9, 2015
Key facts
- NPI
- 1710360680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- Practice address
- 1061 Harmon Ave
Fort Stewart, GA 31314 - Phone
- (470) 891-6254
- NPI assigned
- Jul 9, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | Yes |
Addresses
Primary practice location
1061 Harmon Ave
Fort Stewart, GA 31314
Mailing address
1061 Harmon Ave
Fort Stewart, GA 31314
Phone (470) 891-6254
Other providers in Fort Stewart, GA
- Valeria Janeth Alvarado
- Bonita Wonziel Alvarez
- Jessica Amico
- Steven Mark Amster
- Bryan Anderson
- Isabella Anderson
- Jayson Malcolm Anderson
- William R. Anderson
- Douglas Andrews
- Alexander Angelidis
All providers in Fort Stewart, GA · Pharmacy Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.