Individual
EDWARD CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 HOSPITAL DR, NICU, MACON, GA 31217-3838
(478) 765-4132
(478) 765-4171
Mailing address
350 HOSPITAL DR, NICU, MACON, GA 31217-3838
(478) 765-4132
(478) 765-4171
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35027
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA35027
GA LICENSES
GA
Enumeration date
05/27/2006
Last updated
02/04/2009
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