Marian A Conway, NP
Individual provider Active NPI Community Health Nurse Practitioner · Unadilla, GA
NPI 1508934563 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508934563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Nurse Practitioner 363LC1500X
- License
- RN022461 (GA)
- Practice address
- 2858 Pine Street
Unadilla, GA 31091 - Phone
- (478) 627-3263
- Fax
- (478) 627-9714
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN022461 | GA | MD | Community Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | RN022461 | GA | Yes |
Addresses
Primary practice location
2858 Pine Street
Unadilla, GA 31091
Mailing address
RR 2 Box 1330
Hawkinsville, GA 31036-8926
Phone (478) 892-3670
Other providers in Unadilla, GA
- Timothy Blake Burnham
- Stephen Raymond Byrd
- Easy Living Care Home Inc
- Eugene Emory
- Tabatha Turner Hardwick
- Healthcare of Unadilla LLC
- Alicia Henderson
All providers in Unadilla, GA · Community Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.