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Individual

ANDREW JEFFERY CONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 895-2273
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-9501

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
207Q00000X
Family Medicine Physician
Primary
34.017465
OH
208D00000X
General Practice Physician
Primary
34.017465
OH

Other

Enumeration date
05/10/2023
Last updated
07/22/2026
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