Individual
JONATHAN GREGG MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 288-2100
Mailing address
716 LIBERTY LAKE DR, VESTAVIA, AL 35242-7547
(205) 532-1919
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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