Provider Demographics
NPI:1184701872
Name:CONWAY, GUY REID (PT)
Entity type:Individual
Prefix:MR
First Name:GUY
Middle Name:REID
Last Name:CONWAY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1701 WESTCHESTER DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2534
Practice Address - Street 1:624 QUAKER LN
Practice Address - Street 2:SUITE 206C
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3832
Practice Address - Country:US
Practice Address - Phone:336-802-2685
Practice Address - Fax:336-802-2081
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2632225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00678452OtherRAILROAD MEDICARE
NC7212165Medicaid
NC7212165Medicaid
NCP00678452OtherRAILROAD MEDICARE