Individual provider · Type 1 NPI

John Thomas Connelly Iii, PA-C

Surgical Physician Assistant · Columbia, SC

NPI number 1164866646 Active

Practice location

145 Park Central Dr Ste 100
Columbia, SC 29203-6469

Call (803) 736-3277 Map

Fax (803) 408-8698

Mailing address

500 Northridge Rd Ste 400
Atlanta, GA 30350-3314

Other practice locations

  • 1150 N. 35th Avenue, Suite 490, Hollywood, FL 33021 · (954) 265-1616
  • 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 · (803) 936-7530

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9106938 (FL)
Surgical Physician Assistant Primary 363AS0400X4532 (SC)

Surgical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1164866646

John Thomas Connelly Iii, PA-C's National Provider Identifier is 1164866646, issued on Apr 26, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Columbia, SC. The record was last updated on Sep 4, 2024.