Dr. James L Connolly
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
1420 N Causeway Blvd
Mandeville
, Louisiana 70471-3104
Dr. James L Connolly
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
1420 N Causeway Blvd
Mandeville
, Louisiana 70471-3104
(205) 623-1080
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. James L Connolly
- 1420 N Causeway Blvd
- Mandeville, LA
- Zip : 70471-3104
- Fax : (205) 623-1080
- Phone : (985) 327-5905
Second Address
- Dr. James L Connolly
- 1420 N Causeway Blvd
- Mandeville, LA
- Zip : 70471-3104
- Fax : (205) 623-1080
- Phone : (985) 327-5905
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | ME92995 | FL |
| Y | 207YS0123X | Facial Plastic Surgeon | MD205818 | LA |
National Provider Identifier
| NPI | 1972589448 |
|---|---|
| Provider Name | Dr. James L Connolly |
| First Address | Mandeville, LA 70471-3104 |
| Second Address | Mandeville, LA 70471-3104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/12/2005 |
| Last Update Date | 04/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 256408YKEN | MEDICARE PTAN (01) | LA |
| 2728320000 | (05) | FL |
| I35407 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.