Organization
MICHAEL S CONLEY M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SEAN CONLEY MD (PRESIDENT)
(404) 681-4100
Entity
Organization
Contact information
Practice address
315 W PONCE DE LEON AVE STE 1045, DECATUR, GA 30030-2420
(404) 681-4100
(404) 681-2300
Mailing address
315 W PONCE DE LEON AVE STE 360, DECATUR, GA 30030-2491
(404) 681-4100
(404) 681-2300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
043583
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00752606A
—
GA
01
—
1316010192
INDIVIDUAL NPI
—
01
—
1457535155
GROUP NPI
—
01
—
GRP4459
MEDICARE GROUP
GA
Enumeration date
12/18/2007
Last updated
07/18/2025
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