Conkright, William James

Conkright, William James is an individual health care provider with primary practice located at 1417 Pendleton Rd , Augusta GA 30904-4837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conkright, William James can be contacted via phone (706) 738-9824.

Contact Information

Primary practice address
1417 Pendleton Rd Augusta GA 30904-4837
Phone: (706) 738-9824
Fax: (706) 736-4111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 040829 Georgia

Profile Details

NPI number 1609853191
LBN Legal business name Conkright, William James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 9th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609853191 NPPES
South Carolina MEDICAID G40829
South Carolina MEDICAID 00751803A

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