CODY WAYNE CONNELL

CARROLLTON, GA
NPI1770170342
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: GA  APRN-NP261203)
Enumeration Date2020-12-29
Last Update Date2025-10-10
Business Address
CODY WAYNE CONNELL
706 DIXIE ST STE 320
CARROLLTON, GA 30117-3890
Phone number: 770-836-9326
Mailing Address
CODY WAYNE CONNELL
292 WATERS EDGE PKWY
TEMPLE, GA 30179-5830
Phone number: 256-591-6459