Healthcare Provider Details

I. General information

NPI: 1831036771
Provider Name (Legal Business Name): PATRICK THOMAS CONLEY NRP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12109 PINCKNEY MARSH LN
BEAUFORT SC
29906-7707
US

IV. Provider business mailing address

12109 PINCKNEY MARSH LN
BEAUFORT SC
29906-7707
US

V. Phone/Fax

Practice location:
  • Phone: 412-559-5210
  • Fax:
Mailing address:
  • Phone: 412-559-5210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberP034994
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberSC608020
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: