Individual
SETH G CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04889
NC
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
006176
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356636385
—
NC
05
—
1897PA
—
SC
Enumeration date
06/17/2011
Last updated
02/24/2021
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