James K Conlan, MD
Radiology, Diagnostic Radiology in Brunswick, GA. Individual provider (NPI-1).
NPI number1477543312
StatusActive
Last updated in NPPESNov 17, 2007
Details
- NPI
- 1477543312
- Entity type
- Individual (NPI-1)
- Name
- James K Conlan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2005
- Last updated
- Nov 17, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 023035 | GA | Yes |
Practice location
2415 Parkwood DrBrunswick, GA 31520-4722
Phone 912-287-1515 · Fax 912-287-1394
Mailing address
Po Box 859Waycross, GA 31502-0859
Phone 912-287-1515 · Fax 912-287-1394
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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