Provider Demographics
NPI:1871894469
Name:KILE, JAMES INMAN (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:INMAN
Last Name:KILE
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 1:202 GUNN RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31028-8045
Mailing Address - Country:US
Mailing Address - Phone:478-953-8118
Mailing Address - Fax:478-953-5527
Practice Address - Street 1:202 GUNN RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:GA
Practice Address - Zip Code:31028-8045
Practice Address - Country:US
Practice Address - Phone:478-953-8118
Practice Address - Fax:478-953-5527
Is Sole Proprietor?:No
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH011059183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist