Conley, Taylor Boone
Conley, Taylor Boone is an individual health care provider with primary practice located at 15 Medical Dr Ne Ste 101 , Cartersville GA 30121-8005. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Conley, Taylor Boone can be contacted via phone (770) 386-5221.Contact Information
Primary practice address
15 Medical Dr Ne Ste 101
Cartersville GA 30121-8005
Phone: (770) 386-5221
Fax: (770) 386-1128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1578080685 |
|---|---|
| LBN Legal business name | Conley, Taylor Boone |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2017 |
| Last updated | Oct 24th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578080685 | NPPES |
| Other | 14133920 | CAQH |
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