Search › Georgia › 363LF0000X
Carl Konieczka, APRN
NPI 1558705053 · on the registry since 2013
Practice
- Address
- 1305 Jennings Mill Rd Ste 110
Watkinsville, GA 30677 - Phone
- (706) 613-5880
- Organisation at this address
- Wellstreet Of Georgia Pc
Piedmont Athens Regional Medical Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 62
Additional practice sites
- 80 Jesse Hill Jr Dr Se, Atlanta, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia