Individual
JERRICA CONYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 HIGHWAT 34 EAST SUITE C,, NEWNAN, GA 30265
(678) 619-5151
Mailing address
360877, DECATUR, GA 30034
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN210430
GA
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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