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Individual

DR. JOHN PHILIP CONNORS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
755 MOUNT VERNON HWY, SUITE 250, ATLANTA, GA 30328-4274
(404) 348-4456
(404) 348-4495
Mailing address
755 MOUNT VERNON HWY, SUITE 250, ATLANTA, GA 30328-4274
(404) 348-4456
(404) 348-4495

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
060249
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042472266
PRIVATE HEALTHCARE SYSTEM
01
1074088
AETNA US HEALTHCARE
01
470374
TUFTS HEALTH PLAN
01
5645021
FIRST HEALTH
01
92688
FALLON COMMUNITY HEALTH
01
A38860
MEDICARE B
01
AA39058
HARVARD PILGRIM HEALTHCAR
01
J29061
BLUE CARE ELECT
Enumeration date
11/18/2005
Last updated
09/25/2020
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