Individual
DR. JAMES RYAN CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 303, DOTHAN, AL 36301-3001
(334) 794-3192
(334) 792-7513
Mailing address
1118 ROSS CLARK CIR, SUITE 303, DOTHAN, AL 36301-3001
(334) 794-3192
(334) 792-7513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22776
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00825591A
GEORGIA MEDICAID
GA
01
—
051512609
ALABAMA BLUE CROSS
AL
05
—
051552723
—
AL
01
—
61992
FLORIDA BLUE CROSS
FL
01
—
P00031526
RRMC
AL
Enumeration date
02/19/2006
Last updated
12/16/2009
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