Individual
PATRICK MCCONNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1190 PATTERSON LAKE RD SE APT 1, JACKSONVILLE, AL 36265-3921
(256) 499-2708
Mailing address
1190 PATTERSON LAKE RD SE APT 1, JACKSONVILLE, AL 36265-3921
(256) 499-2708
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
3003307719
AL
174H00000X
Health Educator
Primary
3003307719
AL
Other
Enumeration date
04/07/2025
Last updated
05/21/2025
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