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NPI Code Detail

MEDICARE: JOHN AARON CONNER CRNA

MEDICARE: JOHN AARON CONNER CRNA
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
1367500000XCertified Registered Nurse Anesthetist26884SC
2367500000XCertified Registered Nurse AnesthetistAPRN-CRNA237295GA

General Provider Information

NPI Number : 1609349380
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN AARON CONNER CRNA
Provider Business Mailing Address
First Line : 2090 CARETTA ST
Second Line :
City : NORTH AUGUSTA
State : SC
Zip : 29841-2817
Country : US
Telephone Number : 912-253-3507
Fax Number :
Provider Business Practice Location Address
First Line : 1325 SPRING ST
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-3860
Country : US
Telephone Number : 864-725-4111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2019
Last Update Date : 03/05/2026

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