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Michael Connor Self, RN
Emergency Registered Nurse in Fayetteville, Georgia
NPI 1235844424

Michael Connor Self is a Emergency Registered Nurse based in Atlanta, GA and is specialized in Emergency. Michael Connor Self practices in Fayetteville, GA and has the professional credentials of RN. The NPI Number for Michael Connor Self is 1235844424 and holds a License No. (Georgia).

The current practice location address for Michael Connor Self is 1255 Highway 54 W, Fayetteville, GA and can be reached out via phone at 770-719-7000.

Location: 1255 Highway 54 W, Fayetteville, GA, 30318-6199
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235844424
Provider Name
Michael Connor Self
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
1255 Highway 54 W, Fayetteville, GA, 30318-6199
Phone Number
770-719-7000
Fax Number
Provider Enumeration Date
01/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1255 Highway 54 W
City
Fayetteville
State
Georgia
Zip
30214-4526
Phone Number
770-719-7000
Fax Number
person
Provider Business Mailing Address Details
Address
1255 Highway 54 W
City
Fayetteville
State
Georgia
Zip
30214-4526
Phone Number
770-719-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
RN313506 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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