Individual
DR. CONNOR JAMES O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 CHURCH ST NE STE 250, MARIETTA, GA 30060-8902
(943) 202-7710
Mailing address
790 CHURCH ST NE STE 250, MARIETTA, GA 30060-8902
(943) 202-7710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
91892
GA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
91892
GA
Other
Enumeration date
04/06/2020
Last updated
02/13/2025
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