Individual
PATRICIA J CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 MOCKINGBIRD AVE, PARROTTSVILLE, TN 37843
(423) 625-1170
(423) 625-3618
Mailing address
208 MEDICAL PARK BLVD, BRISTOL, TN 37620-7343
(423) 989-4050
(423) 990-3044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD41976
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000266
—
TN
05
—
30002661
—
TN
05
—
30002662
—
TN
05
—
30002663
—
TN
05
—
30002664
—
TN
01
—
4156943
BCBST
TN
01
—
4156961
BCBST
TN
01
—
4156962
BCBST
TN
01
—
4156963
BCBST
TN
01
—
4156964
BCBST
TN
Enumeration date
04/02/2007
Last updated
06/12/2018
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