| Dr Tom Conboy, Inc | |
|
1200 14th St Suite A Phenix City AL 36867-4907 | |
| (205) 821-1607 | |
| Not Available |
| Full Name | Dr Tom Conboy, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1200 14th St, Phenix City, Alabama |
| Authorized Official Name and Position | Thomas Joseph Conboy (PRESIDENT) |
| Authorized Official Contact | 2058211607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tom Conboy, Inc 1200 14th St Suite A Phenix City AL 36867-4907 Ph: (205) 821-1607 | Dr Tom Conboy, Inc 1200 14th St Suite A Phenix City AL 36867-4907 Ph: (205) 821-1607 |
| NPI Number | 1417367962 |
|---|---|
| Provider Enumeration Date | 05/06/2014 |
| Last Update Date | 05/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417367962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 555 (Alabama) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 555 (Alabama) | Secondary |
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