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General NPI Number Information
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NPI Number | 1457535155
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Entity Type | Organization
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Legal Business Name | MICHAEL S CONLEY M.D., P.C.
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 315 W PONCE DE LEON AVE STE 1045
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City | DECATUR
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State | GA
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Zip | 30030-2420
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Country | US
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Telephone | 404-681-4100
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Fax | 404-681-2300
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Provider Business Mailing Address
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Address Line | 315 W PONCE DE LEON AVE STE 360
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City | DECATUR
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State | GA
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Zip | 30030-2491
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Country | US
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Telephone | 404-681-4100
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Fax | 404-681-2300
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL SEAN CONLEY
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Credential | MD
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Telephone | 404-681-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 043583
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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