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Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
Active
Organization
NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC
Active
Other names
North Florida Kidney Care
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE PETERSON (PRESIDENT)
(303) 876-6486
Entity
Organization
Contact information
Practice address
2216 NW 40TH TER, GAINESVILLE, FL 32605-3573
(352) 888-7500
(352) 372-1364
Mailing address
1840 E RAY RD, CHANDLER, AZ 85225-8720
(855) 397-0197
(800) 272-6512
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274957201
—
FL
Enumeration date
07/01/2013
Last updated
02/06/2020
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