Jonathan Gregg Mcconnell, STUDENT
NPI #1114509643 in Montgomery, Alabama
Provider Information
- NPI Number
- 1114509643
- Entity Type
- Individual
- Name
- Jonathan Gregg Mcconnell, STUDENT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- STUDENT
- Enumeration Date
- Apr 23, 2021
- Last Updated
- Apr 23, 2021
Practice Location
- Address
- 2105 E SOUTH BLVD
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36116-2409
- Phone
- (334) 288-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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