Self, Michael Connor

Self, Michael Connor is an sole proprietor health care provider with primary practice located at 1255 Highway 54 W , Fayetteville GA 30214-4526. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Nursing Service Providers / Emergency. Nursing Service Providers / Emergency is his primary health care specialty. Self, Michael Connor can be contacted via phone (770) 719-7000.

Contact Information

Primary practice address
1255 Highway 54 W Fayetteville GA 30214-4526
Phone: (770) 719-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Nursing Service Providers / Emergency 163WE0003X RN313506 Georgia

Profile Details

NPI number 1235844424
LBN Legal business name Self, Michael Connor
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2023
Last updated Jan 27th, 2023 - about last year

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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