NPI 1063251197

Taesha Conley

Practitioner Other Technician Smyrna, GA

Practice location

Address: 509 Vinings Crst SE, Smyrna, GA 30080-4697
Phone: (612) 207-3836

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 23-276324 (GA)

Other Technician, Other providers in Georgia →

Registry record

NPI: 1063251197
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2024
Record last updated: 20 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.