Individual
BETHANY CONLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 W PARK DR, KINGSPORT, TN 37660
(423) 224-3220
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
68928
TN
Other
Enumeration date
03/29/2013
Last updated
12/18/2023
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