Conyers Family Practice Inc

LBN: Conyers Family Practice Inc
Conyers Family Practice Inc is an health care organization with primary practice located at 1080 Green Street Se , Conyers GA 30012. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Conyers Family Practice Inc can be contacted via phone (770) 483-4951, or through Parry, Patricia Ann via phone (770) 483-4951.

Contact Information

Primary practice address
1080 Green Street Se Conyers GA 30012
Phone: (770) 483-4951
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parry, Patricia Ann
Phone: (770) 483-4951

Health care specialties

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

Profile Details

NPI number 1316165665
LBN Legal business name Conyers Family Practice Inc
DBA Doing business as
Authorized official Parry, Patricia Ann
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Jul 30th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316165665 NPPES
Georgia Other GRP3602 MEDICARE GROUP

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