Individual provider · Type 1 NPI

Matthew Oconnell, PA C MPAS

Surgical Physician Assistant · Atlanta, GA

NPI number 1821258641 Active

Practice location

1365 Clifton Rd NE
Atlanta, GA 30322-1013

Mailing address

701 Penn Waller Rd, Apt B 3
Wilmington Island, GA 31410

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1821258641

Matthew Oconnell, PA C MPAS's National Provider Identifier is 1821258641, issued on Jun 16, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Atlanta, GA. The record was last updated on Jun 17, 2008.