Individual
HUGH TIMOTHY MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
833 PRINCETON AVE SW STE 200A, BIRMINGHAM, AL 35211-1321
(205) 684-7079
Mailing address
833 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1323
(205) 684-7079
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9103629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156353062B
—
GA
05
—
292402100
—
FL
01
—
P00328040
MEDICARE RAILROAD
—
Enumeration date
09/29/2005
Last updated
03/31/2020
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