Conner, Tyshawn

Conner, Tyshawn is an sole proprietor health care provider with primary practice located at 502 Booth Rd , Warner Robins GA 31088-3422. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Conner, Tyshawn can be contacted via phone (478) 918-0636.

Contact Information

Primary practice address
502 Booth Rd Warner Robins GA 31088-3422
Phone: (478) 918-0636
Fax: (478) 918-0683
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X LDO002698 Georgia

Profile Details

NPI number 1851084768
LBN Legal business name Conner, Tyshawn
Credentials LDO
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2023
Last updated May 29th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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