Individual
CODY WAYNE CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
706 DIXIE ST STE 320, CARROLLTON, GA 30117-3890
(770) 836-9326
Mailing address
292 WATERS EDGE PKWY, TEMPLE, GA 30179-5830
(256) 591-6459
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP261203
GA
Other
Enumeration date
12/29/2020
Last updated
10/10/2025
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