Provider Demographics
NPI:1063442036
Name:CONAWAY, DAVID JAMES (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JAMES
Last Name:CONAWAY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:134 ANSLEY DR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-1639
Mailing Address - Country:US
Mailing Address - Phone:706-867-8870
Mailing Address - Fax:706-867-8876
Practice Address - Street 1:134 ANSLEY DR
Practice Address - Street 2:SUITE 700
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-1639
Practice Address - Country:US
Practice Address - Phone:706-867-8870
Practice Address - Fax:706-867-8876
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2010-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA014147207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000009358AMedicaid
GA000009358AMedicaid