| Gordon T. Connor,m .d., LLC | |
|
2018 Brookwood Med Ctr Dr Ste 209 Birmingham AL 35209-6870 | |
| (205) 877-2193 | |
| (205) 877-2196 |
| Full Name | Gordon T. Connor,m .d., LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2018 Brookwood Med Ctr Dr Ste 209, Birmingham, Alabama |
| Authorized Official Name and Position | Kimberly Kay Sullens (OFFICE MANAGER) |
| Authorized Official Contact | 2058772193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon T. Connor,m .d., LLC 2018 Brookwood Med Ctr Dr Ste 209 Birmingham AL 35209-6870 Ph: (205) 877-2193 | Gordon T. Connor,m .d., LLC 2018 Brookwood Med Ctr Dr Ste 209 Birmingham AL 35209-6870 Ph: (205) 877-2193 |
| NPI Number | 1992409395 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 3577038132 |
|---|---|
| Medicare Enrollment ID | O20260410002408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992409395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Gordon T Connor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801804703 PECOS PAC ID: 7113816570 Enrollment ID: I20040312001170 |
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