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Individual

MICHAEL E MCCONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
202 VILLAGE CTR PARKWAY, STOCKBRIDGE, GA 30281
(404) 256-2593
(678) 547-1494
Mailing address
2835 BRANDYWINE RD, #300, ATLANTA, GA 30341
(770) 488-9212
(770) 488-9408

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
048796
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00488166A
GA
Enumeration date
05/11/2006
Last updated
11/19/2015
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