Individual
DR. JASON E CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(770) 606-2104
Mailing address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
(770) 874-5469
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
054602
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409560395A
—
GA
05
—
409560395B
—
GA
05
—
409560395C
—
GA
05
—
409560395D
—
GA
Enumeration date
08/18/2006
Last updated
07/09/2007
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