Individual
MR. RONELL MALEEK CONYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
11200 GOVERNOR MANLY WAY, SUITE 309, RALEIGH, NC 27614-8599
(919) 562-9410
Mailing address
11200 GOVERNOR MANLY WAY, SUITE 309, RALEIGH, NC 27614-8599
(919) 562-9410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2421
NC
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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