Individual
EMILY CONOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
509 WHEAT AVE, BAINBRIDGE, GA 39819-4321
(229) 416-4421
Mailing address
454 SMITH AVE, THOMASVILLE, GA 31792-5535
(229) 584-2540
(229) 226-2036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN222421
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN222421
GA LICENSE
GA
Enumeration date
02/05/2019
Last updated
02/05/2019
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