Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL JAY BOZEMAN
ActiveRUSSELL JAY BOZEMAN is a Geriatric Pharmacist healthcare provider located in STATESBORO, Georgia. NPI 1366637142 is currently active in the NPPES registry. Verify at CMS.
Geriatric Pharmacist · STATESBORO, GA
Registration Details
- NPI Number
- 1366637142
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2007 (18.928397863501 yrs)
- Last Updated
- Sep 13, 2007
- License
-
14782 (GA)
Practice Information
- Address
-
10929 US HIGHWAY 301 SSUITE 111STATESBORO, GA, 304587774Browse GA providers · Browse ZIP 30458
- Phone
- 9127647839
- Fax
- 9124891519
- Primary Specialty
-
Geriatric Pharmacist
1835G0303X
Other Geriatric Pharmacist Providers in STATESBORO, GA
| Name | Credential | NPI |
|---|---|---|
| GAYLE CHAPPELL CLARK | R.PH | 1629263447 |
| MRS. DONNA LISA MOXLEY LASSITER | — | 1417143181 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.