Provider Demographics
NPI:1871943589
Name:CONNOR, JOSHUA NORMAN (DO)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:NORMAN
Last Name:CONNOR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:JOSH
Other - Middle Name:NORMAN
Other - Last Name:CONNOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 743070
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3070
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 E WOOD ST STE 401
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3040
Practice Address - Country:US
Practice Address - Phone:864-560-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC39354207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSCF3445019OtherMEDICARE PIN
SC393541Medicaid
SCSCF3449068OtherMEDICARE PIN