Individual
DR. DARRYL COTTRELL WANTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1495
Mailing address
245 ALLENWOOD RD, FAYETTEVILLE, GA 30214-7528
(678) 920-8272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033783
GA
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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