Individual
JOHN O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 COLLIER RD NW, SUITE 300, ATLANTA, GA 30309-1709
(404) 605-2800
(404) 351-5983
Mailing address
275 COLLIER RD NW, SUITE 300, ATLANTA, GA 30309-1709
(404) 605-2800
(404) 351-5983
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036053589
IL
207RC0000X
Cardiovascular Disease Physician
Primary
062266
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
947151201A
—
GA
05
—
947151201B
—
GA
Enumeration date
07/11/2006
Last updated
11/30/2011
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