Individual
DR. PARCHELLE D CONNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER, ATLANTA, GA 30328-3473
(214) 763-5646
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
067000
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
J8969
TX
208VP0000X
Pain Medicine Physician
J8969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036324401
—
TX
01
—
89461Y
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/28/2006
Last updated
01/10/2022
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