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Individual

PATRICK A CONARRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
64 MOUNTAIN DR, DAHLONEGA, GA 30533-1601
(706) 864-6196
Mailing address
64 MOUNTAIN DR, DAHLONEGA, GA 30533-1601
(706) 864-6196

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
030737
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030737
LICENSE
GA
01
GRP2383
GROUP IDENTIFIER
GA
Enumeration date
10/03/2006
Last updated
03/26/2010
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