DR. MARY DIANE KINSELLA


Address: 1412 Milstead Ave Ne Dept Of, Conyers, GA 30012
Phone: 6784231550

DR. MARY DIANE KINSELLA (NPI# 1205010790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205010790
Entity Type Individual
Full Name DR. MARY DIANE KINSELLA
Other Name MARY DIANE DARROW
Credential M.D.
Practice Address 1412 Milstead Ave Ne Dept Of
Conyers
GA 30012
Mailing Address 1412 Milstead Ave Ne Dept Of
Conyers
GA 30012-3877
Practice Telephone 6784231550
Practice Fax Number 6784231550
Mailing Telephone 6784231550
Mailing Fax Number 6784231550
Enumeration Date 2007-12-20
Last Update Date 2018-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
64527 GA Allopathic & Osteopathic Physicians
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
002586 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
11 Upper Riverdale Rd Sw, Southern Regional Hospital-department of Pathology, Riverdale, GA 30274 6784231550 6784231550

Other Providers MARY KINSELLA

NPI Name Taxonomy Address Enumeration
1346481090 Mary Kathleen Kinsella Registered Nurse 21 Peace St, 2nd Floor, Providence, RI 02907-1510 2009-03-10
1427205780 Mary E Kinsella Counselor 4968 Glenway Ave, Cincinnati, OH 45238-3902 2008-08-19

Office Location

Street Address 1412 MILSTEAD AVE NE DEPT OF
City CONYERS
State GA
Zip Code 30012

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578188306 The Eye Md Ophthalmology 1359 Milstead Road, Suite #103, Conyers, GA 30012 2020-06-08
1043855836 Maurvet Minto Counselor 1175 Green St, Conyers, Conyers, GA 30012 2019-11-15
1770054561 Sarah Elizabeth Brooks Physical Medicine & Rehabilitation 1290 Milstead Ave Ne, Conyers, GA 30012 2018-12-06
1679091276 Valorie Antoinette Jones Counselor 1175 Green St Se, Conyers, GA 30012 2017-09-02
1558886341 Synergy Radiology, LLC Radiology 1501 Milstead Road, Suite 140, Conyers, GA 30012 2017-08-14
1558813295 Salon Lyon, LLC Specialist 1112 West Ave, Se, B, Conyers, GA 30012 2016-10-28
1992252753 Traci Hunter Bryan Pharmacist 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 2016-09-08
1316491830 Hye Rim Kim Anesthesiologist Assistant 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 2016-08-12
1235591397 David Jeffrey Wasserman Optometrist 1192 Dogwood Dr Sw, Conyers, GA 30012 2016-03-28
1174919187 Anique Archer Health Educator 2170 Lester Rd Nw, Conyers, GA 30012 2015-04-07
Find all providers in zip 30012

Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760793673 Andrew Erling Johnsen Pathology 3248 Avalon Pkwy, Conyers, GA 30013-6320 2010-06-24
1184868952 Paulie Papavassiliou-bajic Pathology 1412 Milstead Avenue, N.e., Department of Pathology, Conyers, GA 30012 2009-04-23
1962418400 Jackson L Gates Pathology 1880 Lancaster Drive, Conyers, GA 30013-6433 2006-08-01
1720016801 South Suburban Pathologists PC Pathology 141 Milstead Ave Ne, Conyers, GA 30012 2006-06-29
1518936228 Charles William Andrews Jr. Pathology 3248 Avalon Blvd, Conyers, GA 30013-6320 2006-03-15
1295085686 Aaron J Leifer Pathology 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2012-09-13
1659547388 Rockdale Pathology, PC Pathology 3248 Avalon Blvd, Conyers, GA 30013 2008-05-02
1326224791 Gihun Lim Pathology 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2008-01-16
1235108440 Milstead Pathology, PC Pathology 3248 Avalon Blvd, Conyers, GA 30013-6320 2006-03-17
1306815030 Aileen P O'neill Pathology 3248 Avalon Blvd, Conyers, GA 30013-6320 2006-03-15
Find all providers in CONYERS

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City CONYERS
Zip Code 30012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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