| Conyers Family Practice Inc | |
|
1080 Green Street Se Conyers GA 30012 | |
| (770) 483-4951 | |
| Not Available |
| Full Name | Conyers Family Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1080 Green Street Se, Conyers, Georgia |
| Authorized Official Name and Position | Patricia Ann Parry (OFFICE MANAGER) |
| Authorized Official Contact | 7704834951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conyers Family Practice Inc 1080 Green Street Se Conyers GA 30012 Ph: (770) 483-4951 | Conyers Family Practice Inc 1080 Green Street Se Conyers GA 30012 Ph: (770) 483-4951 |
| NPI Number | 1316165665 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316165665 | NPI | - | NPPES |
| GRP3602 | Other | GA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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