Individual provider · NPI-1
Dr. Joseph Earl Conklin Jr., M.D.
Family Medicine · Phenix City, AL
NPI number1942663695
StatusActive
Last updated in NPPESAug 28, 2025
Details
- NPI
- 1942663695
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joseph Earl Conklin Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2016
- Certification date
- Aug 28, 2025
- Last updated
- Aug 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 38696 | AL | Yes |
| 207Q00000X | Family Medicine | 79876 | GA | |
| 207Q00000X | Family Medicine | ME163761 | FL |
Practice location
4401 Riverchase DrPhenix City, AL 36867-7483
Phone 334-732-3242
Mailing address
4401 Riverchase DrPhenix City, AL 36867-7483
Phone 334-732-3242
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