Organization
LAURETTA A CONNELLY, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURETTA A CONNELLY MD (OWNER)
(931) 528-6945
Entity
Organization
Contact information
Practice address
109 W 6TH ST, COOKEVILLE, TN 38501-1721
(931) 528-6945
(931) 372-2234
Mailing address
109 W 6TH ST, COOKEVILLE, TN 38501-1721
(931) 528-6945
(931) 372-2234
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29602
TN
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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