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Connettia Pemberton

NPI 1184532301 · on the registry since 2026 · sole proprietor

Practice

Address
2792 Jordan Ave
Macon, GA 31217
Phone
(404) 852-9790

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia