Individual
JOHN COLEMAN CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904
(706) 596-5737
(706) 596-5727
Mailing address
PO BOX 5328, COLUMBUS, GA 31906
(706) 596-5737
(706) 596-5727
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24218
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00254438A
—
GA
Enumeration date
10/18/2006
Last updated
07/08/2007
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