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Organization

NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC

Active
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Organization

NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS JOHNSON (DIRECTOR)
(303) 626-6239
Entity
Organization

Contact information

Practice address
1627 COLE BLVD BLDG 18, LAKEWOOD, CO 80401-3315
(303) 626-6239
(866) 917-5396
Mailing address
14546 OLD SAINT AUGUSTINE RD STE 301, JACKSONVILLE, FL 32258-5472
(303) 626-6239
(866) 917-5396

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
03/27/2006
Last updated
12/01/2011
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