Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Conyers Internal Medicine LLC

Organization Internal Medicine Physician · NPI 1063752913

Conyers Internal Medicine LLC is an Internal Medicine Physician in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1380 Milstead Ave NE Ste C
Conyers, GA 30012-3864
Phone: (770) 922-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (GA)

Record details

NPI number1063752913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Naseem Shakoor — Owner · (770) 922-7000
NPI enumeratedFebruary 28, 2013
Last updated in NPPESFebruary 28, 2013
Mailing address1380 Milstead Ave Ne, Ste C, Conyers, GA 30012-3864

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