MEDICARE: JAMES RYAN 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	208600000X	Surgery Physician	29791	AL

General Provider Information

NPI Number	:	1760647556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES RYAN CONNER M.D.

Provider Business Mailing Address
First Line	:	1120 S. JACKSON HWY
Second Line	:	SUITE 105
City	:	SHEFFIELD
State	:	AL
Zip	:	35660
Country	:	US
Telephone Number	:	256-386-1125
Fax Number	:	888-745-7084

Provider Business Practice Location Address
First Line	:	1120 S JACKSON HWY STE 105
Second Line	:
City	:	SHEFFIELD
State	:	AL
Zip	:	35660-5770
Country	:	US
Telephone Number	:	256-386-1125
Fax Number	:	888-745-7084

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

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	06/21/2024

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