Individual
MAURICE CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1660 HATTERAS TRL, GRAYSON, GA 30017-2912
(770) 250-5488
Mailing address
PO BOX 1, GRAYSON, GA 30017-0001
(770) 250-5488
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PHCP011264
GA
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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