Individual
JUSTIN PAUL CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(404) 387-0218
Mailing address
890 OLD JACKSON RD, MCDONOUGH, GA 30252-7019
(404) 387-0218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN292335
GA
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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