Family Practice Of Conyers

NPI 1720146301 - Legal Medicine - 173000000X

NPI Details
NPI 1720146301
Enumeration Date 12/05/2006
Last Updated 07/22/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ALVIN VINCENT ALVIN
Position MEDICAL DIRECTOR
Phone (770) 922-0076
Fax (770) 922-0734
Practice Location
1039 E FREEWAY DR SE
CONYERS GA, 30094-5965, US
Phone (770) 922-0076
Fax (770) 922-0734
Business Location
1039 E FREEWAY DR SE
CONYERS GA, 30094-5965, US
Phone (770) 922-0076
Fax (770) 922-0734
Toxanomy
Taxonomy Code 173000000X
License State Georgia
License Number 050999
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According to our database, Family Practice Of Conyers NPI is 1720146301, taxonomy code is 173000000X and license number is 050999, license state is located at Georgia. Family Practice Of Conyers physically located at 1039 E Freeway Dr Se, Conyers GA, 30094-5965. NPI Number 1033115704 has the healthcare provider type.

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1720146301 NPI number is provided on an as is basis without warranty of any kind. 1720146301 is maintained by the National Plan & Provider Enumeration System. The contents of Family Practice Of Conyers are for informational purposes only.