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MAURICE CONNER
>> Nursing Care >> AgenciesRegistrant NPI Number: 1871269910
Individual Registrant: MAURICE CONNER
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1660 HATTERAS TRL GRAYSON, GA 30017-2912 US
Tel: 770-250-5488 Fax: --
Tel: 770-250-5488 Fax: --
Contact information for business:
PO BOX 1 GRAYSON, GA 30017-0001 US
Tel: 770-250-5488 Fax: --
Tel: 770-250-5488 Fax: --
Registration Information:
NPI: 1871269910
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 251J00000X | Agencies Nursing Care | GA | PHCP011264 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
