Individual
MRS. MARIAN A CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2858 PINE STREET, UNADILLA, GA 31091
(478) 627-3263
(478) 627-9714
Mailing address
RR 2 BOX 1330, HAWKINSVILLE, GA 31036-8926
(478) 892-3670
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
RN022461
GA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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