Conyers Internal Medicine LLC

NPI #1063752913 in Conyers, Georgia

Provider Information

NPI Number: 1063752913
Entity Type: Organization
Organization Name: Conyers Internal Medicine LLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 28, 2013
Last Updated: Feb 28, 2013

Practice Location

Address: 1380 MILSTEAD AVE NE
Address 2: STE C
City: Conyers
State: Georgia
ZIP Code: 30012-3864
Phone: (770) 922-7000

Authorized Official

Name: NASEEM K SHAKOOR, MD
Title: OWNER
Phone: (770) 922-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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