Individual
DR. CONRAD H WYNTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8139 TARA BLVD, JONESBORO, GA 30236-3142
(917) 402-4574
Mailing address
3110 SPICY CEDAR LN, LITHONIA, GA 30038-7161
(917) 402-4574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028102
GA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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