Connelly, John Thomas

Connelly, John Thomas is an individual health care provider with primary practice located at 146 E Hospital Dr Ste 200 , West Columbia SC 29169-4800. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Connelly, John Thomas can be contacted via phone (803) 936-7530.

Contact Information

Primary practice address
146 E Hospital Dr Ste 200 West Columbia SC 29169-4800
Phone: (803) 936-7530
Fax: (803) 936-7532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4532 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106938 Florida

Profile Details

NPI number 1164866646
LBN Legal business name Connelly, John Thomas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2013
Last updated Aug 30th, 2022 - about 2 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.

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