MEDICARE: DR. DANA CONNER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME84500	FL
2	207PE0005X	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	031227	GA

General Provider Information

NPI Number	:	1356344048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANA CONNER M.D.

Provider Business Mailing Address
First Line	:	35 HOSPITAL RD
Second Line	:
City	:	BLAIRSVILLE
State	:	GA
Zip	:	30512-3139
Country	:	US
Telephone Number	:	706-745-2111
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 HOSPITAL RD
Second Line	:
City	:	BLAIRSVILLE
State	:	GA
Zip	:	30512-3139
Country	:	US
Telephone Number	:	706-745-2111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	01/02/2024

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