Individual
MRS. TAYLOR BOONE CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 MEDICAL DR NE STE 101, CARTERSVILLE, GA 30121-8005
(770) 386-5221
(770) 386-1128
Mailing address
15 MEDICAL DR NE STE 101, CARTERSVILLE, GA 30121-8005
(770) 386-5221
(770) 386-1128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14133920
CAQH
—
Enumeration date
08/29/2017
Last updated
10/24/2022
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