OrganizationActive
Organnizer
NPI 1861937187 · Nursing Facility/Intermediate Care Facility · Conyers, GA
Provider details
- NPI number
- 1861937187
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Notoya Scott, Nurse Practitioner(251) 391-4249
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2320 Highway 20 Se
Conyers, GA 30013-2426
Phone: (251) 391-4249
Approximate (ZIP-level) locationGet directions
Mailing address
2320 Highway 20 Se
Conyers, GA 30013-2426
Registry dates
- Enumerated
- 2016-12-22
- Last updated
- 2016-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.