Connell, Cymanthia Keesha
Connell, Cymanthia Keesha is an sole proprietor health care provider with primary practice located at 81 Northside Dawson Dr Ste 100A , Dawsonville GA 30534-7166. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Connell, Cymanthia Keesha can be contacted via phone (706) 216-6000.Contact Information
Primary practice address
81 Northside Dawson Dr Ste 100A
Dawsonville GA 30534-7166
Phone: (706) 216-6000
Fax: (706) 216-6010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 68859 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0440473 | Kansas |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 207Q00000X | Missouri |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2013022689 | Missouri |
Profile Details
| NPI number | 1518278829 |
|---|---|
| LBN Legal business name | Connell, Cymanthia Keesha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2010 |
| Last updated | Feb 26th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518278829 | NPPES |
| Missouri | Other | MA1870009 | MEDICARE PTAN |
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