Provider Demographics
NPI:1093179988
Name:SINGLETON, JAMES DAVID (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:SINGLETON
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 1:365 HABERSHAM VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:CORNELIA
Mailing Address - State:GA
Mailing Address - Zip Code:30531-5325
Mailing Address - Country:US
Mailing Address - Phone:706-776-6046
Mailing Address - Fax:847-396-3280
Practice Address - Street 1:365 HABERSHAM VILLAGE CIR
Practice Address - Street 2:
Practice Address - City:CORNELIA
Practice Address - State:GA
Practice Address - Zip Code:30531-5325
Practice Address - Country:US
Practice Address - Phone:706-776-6046
Practice Address - Fax:847-396-3280
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH013124183500000X
AL09325183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist