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NPI Code Detail

MEDICARE: DR. JOHN JOSEPH CONNORS III MD

MEDICARE: DR. JOHN JOSEPH CONNORS III MD
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
12085R0202XDiagnostic Radiology Physician83575FL
22085R0204XVascular & Interventional Radiology PhysicianC52877CA
32085N0700XNeuroradiology PhysicianMD23848TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487636551
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN JOSEPH CONNORS III MD
Provider Business Mailing Address
First Line : 3601 TVC
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-0001
Country : US
Telephone Number : 615-322-3000
Fax Number :
Provider Business Practice Location Address
First Line : 3601 TVC
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-0001
Country : US
Telephone Number : 615-322-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 09/17/2012

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