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Individual

BARBARA J CONLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1267 HIGHWAY 54 W, STE 2200, FAYETTEVILLE, GA 30214-2114
(770) 716-0051
(770) 716-0087
Mailing address
20 FRANCIS WAY, SUITE 101, SHARPSBURG, GA 30277
(770) 253-0611
(770) 502-0521

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
157373
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
438276296LMN
GA
Enumeration date
11/04/2005
Last updated
11/01/2010
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