Individual
DR. GREGORY LAURENT CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2191 MEMORIAL DR, APTARTMENT G95, CLARKSVILLE, TN 37043-4797
(931) 553-7855
Mailing address
2191 MEMORIAL DR, APTARTMENT G95, CLARKSVILLE, TN 37043-4797
(931) 553-7855
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02777
KY
207P00000X
Emergency Medicine Physician
Primary
2028
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000290234
BLUE CROSS BLUE SHIELD
KY
05
—
64062813
—
KY
01
—
P00255239
RAILROAD MEDICARE
KY
Enumeration date
06/06/2006
Last updated
08/28/2019
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