Individual
CONNOR CARRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA - C
Contact information
Practice address
1204 N MAIN ST, MARION, VA 24354-4312
(276) 783-2511
Mailing address
1204 N MAIN ST, MARION, VA 24354-4312
(276) 591-9888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-008909
VA
363AM0700X
Medical Physician Assistant
Primary
0110008909
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110-008909
VIRGINIA BOARD OF MEDICINE
VA
Enumeration date
08/10/2022
Last updated
01/03/2024
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