Provider Demographics
NPI:1043213598
Name:MASSEY, CURTIS TODD (RPH)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:TODD
Last Name:MASSEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 OCMULGEE SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31211-6353
Mailing Address - Country:US
Mailing Address - Phone:478-731-2185
Mailing Address - Fax:478-745-3264
Practice Address - Street 1:101 OCMULGEE SPRINGS DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31211-6353
Practice Address - Country:US
Practice Address - Phone:478-731-2185
Practice Address - Fax:478-745-3264
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0157711835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy