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Organization
THE KIDNEY CLINIC
Active
Organization
THE KIDNEY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZEN A ABDALLA MD (PHYSICIAN)
(678) 344-0334
Entity
Organization
Contact information
Practice address
2386 CLOWER ST STE C105, SNELLVILLE, GA 30078-6107
(678) 344-0334
(678) 344-0343
Mailing address
2386 CLOWER ST, SUITE C-105, SNELLVILLE, GA 30078-6134
(678) 344-0334
(678) 344-0343
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
038414
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00612752A
—
GA
01
—
1467420893
NPI FOR MAZEN ABDALLA,MD
GA
Enumeration date
07/01/2008
Last updated
07/06/2026
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