Conyers Walki In Clinic
LBN: Conyers Walki In Clinic
Conyers Walki In Clinic is an health care organization with primary practice located at 1810 Highway 20 Se Suite172, Conyers GA 30013-2001. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Conyers Walki In Clinic can be contacted via phone (770) 679-9935, or through Waters, Danielle Nicole via phone (770) 679-9935.
Contact Information
Primary practice address
1810 Highway 20 Se Suite172
Conyers GA 30013-2001
Phone: (770) 679-9935
Fax: (770) 679-9938
Website:
Authorized official contact:
Name: Waters, Danielle Nicole Family Nurse Practitioner (FNP)
Phone: (770) 679-9935
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | 206177 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN206177 | Georgia |
Profile Details
| NPI number | 1326480666 |
|---|---|
| LBN Legal business name | Conyers Walki In Clinic |
| DBA Doing business as | |
| Authorized official | Waters, Danielle Nicole Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 29th, 2013 |
| Last updated | Aug 26th, 2013 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326480666 | NPPES |
| Georgia | MEDICAID | 1306986427 |
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