# NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DaVita Nephrology Partners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679533012
- **Authorized official:** MR. GARY WILLIAM BELL (VICE PRESIDENT & CONTROLLER)
- **Authorized official phone:** (800) 310-4872

## Contact information

- **Practice address:** 880 E 3900 S, STE B, SALT LAKE CITY, UT 84107-2151
- **Practice address phone:** (801) 268-1296
- **Practice address fax:** (801) 268-0340
- **Mailing address:** PO BOX 2355, TACOMA, WA 98401
- **Mailing address phone:** (800) 310-4872
- **Mailing address fax:** (877) 328-4923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 09/11/2025