Organization
EDWARD D CONNER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD DARRELL CONNER MD (PRESIDENT)
(478) 747-9474
Entity
Organization
Contact information
Practice address
112 GLENEAGLES CIR, MACON, GA 31210-2943
(478) 747-9474
Mailing address
112 GLENEAGLES CIR, MACON, GA 31210-2943
(478) 747-9474
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
035027
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821045808
—
GA
Enumeration date
12/16/2013
Last updated
12/16/2013
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