Organization
MARY CONWAY,MD PA
Active
Organization
MARY CONWAY,MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY M CONWAY MD (PHYSICIAN)
(252) 940-1174
Entity
Organization
Contact information
Practice address
330 N MARKET S, WASHINGTON, NC 27889-4934
(252) 940-1174
(252) 940-1176
Mailing address
330 N MARKET STREET, WASHINGTON, NC 27889-4934
(252) 940-1174
(252) 940-1176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
95-00870
NC
207R00000X
Internal Medicine Physician
9500870
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23825
BCBS
NC
05
—
8923825
—
NC
Enumeration date
12/31/2007
Last updated
12/19/2009
Update your record
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