| Conyers Medical Clinic, Pc | |
|
2601 Salem Rd Se Conyers GA 30013-2127 | |
| (770) 922-1880 | |
| (770) 388-0201 |
| Full Name | Conyers Medical Clinic, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2601 Salem Rd Se, Conyers, Georgia |
| Authorized Official Name and Position | Ganesh N Kini (CFO) |
| Authorized Official Contact | 7709221880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conyers Medical Clinic, Pc 2601 Salem Rd Se Conyers GA 30013-2127 Ph: (770) 922-1880 | Conyers Medical Clinic, Pc 2601 Salem Rd Se Conyers GA 30013-2127 Ph: (770) 922-1880 |
| NPI Number | 1235203811 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235203811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30120 (Georgia) | Primary |
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