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Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
Active
Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
Active
Other names
DaVita Nephrology Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN STRACK (VICE PRESIDENT)
(303) 626-6103
Entity
Organization
Contact information
Practice address
1050 W ELM ST, STE 160, HERMISTON, OR 97838
(541) 564-1810
(541) 564-1812
Mailing address
PO BOX 2355, TACOMA, WA 98401
(800) 310-4872
(877) 328-4923
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277872
—
OR
Enumeration date
03/27/2006
Last updated
01/16/2008
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