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Search › Georgia › 156FX1800X

Tyshawn Conner, LDO

NPI 1851084768 · on the registry since 2023 · sole proprietor

Practice

Address
502 Booth Rd
Warner Robins, GA 31088
Phone
(478) 918-0636
Fax
(478) 918-0683
Organisation at this address
Stella Onyekwelu, Od
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia