Individual
DR. GORDON THACKER CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2018 BROOKWOOD MEDICAL CENTER DR, PROFESSIONAL OFFICE BUILDING STE 209, BIRMINGHAM, AL 35209
(205) 877-2193
(205) 877-2196
Mailing address
2018 BROOKWOOD MEDICAL CENTER DR, PROFESSIONAL OFFICE BUILDING STE 209, BIRMINGHAM, AL 35209
(205) 877-2193
(205) 877-2196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10818
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51086783
BCBS OF AL INSURANCE
AL
Enumeration date
08/04/2006
Last updated
07/08/2007
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