Individual
DR. ADA M. CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 FAIRVIEW ST, CLINTON, NC 28328-2399
(910) 592-6011
(910) 590-0816
Mailing address
1604 TIMBERLAKE DR, CLINTON, NC 28328-8227
(910) 385-7551
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005-01080
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00365518
—
NC
01
—
140RH
NC BLUE CROSS BLUE SHIELD
NC
01
—
182933
MEDCOST
NC
01
—
1944154
UNITED HEALTHCARE
NC
01
—
5483676
AETNA
NC
01
—
9104294
CIGNA
NC
Enumeration date
06/20/2006
Last updated
07/08/2022
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