Individual
DR. CHARLES FRED CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 FOXCHASE DR, DOTHAN, AL 36305-1145
(334) 793-3425
Mailing address
47 FOXCHASE DR, DOTHAN, AL 36305-1145
(334) 793-3425
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5546
AL
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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