Individual
MATTHEW OCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C MPAS
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-5000
Mailing address
701 PENN WALLER RD, APT B 3, WILMINGTON ISLAND, GA 31410
(912) 257-8274
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/16/2008
Last updated
06/17/2008
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