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Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA, LLC
Active
Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA, LLC
Active
Other names
Southern Kidney Care
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE PETERSON (VP OF OPERATIONS)
(205) 983-1120
Entity
Organization
Contact information
Practice address
3570 GRANDVIEW PKWY STE 2, BIRMINGHAM, AL 35243-2064
(205) 354-2100
(866) 343-6766
Mailing address
1840 E. RAY ROAD, CHANDLER, AZ 85225
(205) 354-2100
(866) 343-6766
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/27/2012
Last updated
07/21/2022
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