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Individual

DR. CHRISTOPHER CONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2045 ROCKBRIDGE RD, STE 101, STONE MOUNTAIN, GA 30087-3551
(770) 469-7330
(770) 469-9588
Mailing address
2045 ROCKBRIDGE RD, STE 101, STONE MOUNTAIN, GA 30087-3551
(770) 469-7330
(770) 469-9588

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0005997
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350046860
RR MEDICARE
GA
01
52663882
BCBS
GA
Enumeration date
07/20/2006
Last updated
07/14/2008
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