Individual
DR. TIMOTHY PATRICK CONNELLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 350-7171
(912) 350-3454
Mailing address
1101 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 350-7171
(912) 350-3454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
067895
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288192878C
—
GA
05
—
GA1309
—
SC
01
—
P01059478
RAILROAD MEDICARE
GA
Enumeration date
07/15/2008
Last updated
02/09/2022
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