Individual
TABITHA WISHARD MCWHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1498 KLONDIKE RD SW, SUITE 106, CONYERS, GA 30094-5169
(770) 761-7260
(678) 413-1818
Mailing address
1498 KLONDIKE RD SW, SUITE 106, CONYERS, GA 30094-5169
(770) 761-7260
(678) 413-1818
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
RPH027868
GA
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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