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1770170342
CODY WAYNE CONNELL
ATLANTA, GA
NPI
1770170342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN261203)
Enumeration Date
2020-12-29
Last Update Date
2022-08-24
Business Address
CODY WAYNE CONNELL
1365 CLIFTON RD NE
ATLANTA, GA 30322-3818
Phone number: 404-778-4500
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Mailing Address
CODY WAYNE CONNELL
292 WATERS EDGE PKWY
TEMPLE, GA 30179-5830
Phone number: 256-591-6459
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