Provider Demographics
NPI:1891956785
Name:CONNER, OSCAR WEIR III (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:WEIR
Last Name:CONNER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1197 DAVIS CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-2806
Mailing Address - Country:US
Mailing Address - Phone:601-859-7417
Mailing Address - Fax:
Practice Address - Street 1:1197 DAVIS CROSSING RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046-2806
Practice Address - Country:US
Practice Address - Phone:601-859-7417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS04149174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist