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Organization

CONNER FAMILY HEALTH CLINIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM CONNER M.D. (OWNER)
(704) 708-4301
Entity
Organization

Contact information

Practice address
211 W MATTHEWS ST, SUITE 102, MATTHEWS, NC 28105-1309
(704) 708-4301
Mailing address
211 W MATTHEWS ST, SUITE 102, MATTHEWS, NC 28105-1309
(704) 708-4301

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9701293
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2344531
PTAN
Enumeration date
10/25/2007
Last updated
08/17/2010
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