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General NPI Number Information
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NPI Number | 1245531821
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Entity Type | Individual
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Provider Name | EBONY B CONNER D.P.M
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Gender | Female
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Dates
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Enumeration Date | 11/12/2010
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 117 GOVERNORS SQ STE B
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-4811
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Country | US
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Telephone | 678-489-4210
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Fax | 678-489-4088
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Provider Business Mailing Address
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Address Line | 950 EAGLES LANDING PKWY # 592
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7343
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Country | US
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Telephone | 678-489-4210
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Fax | 678-489-4088
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | POD001241
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License Number State | GA
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