Organization
AEGIS NEPHROLOGY & INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVIN TANEJA M.D. (OWNER/PHYSICIAN)
(478) 225-9983
Entity
Organization
Contact information
Practice address
130 HOSPITAL DR, WARNER ROBINS, GA 31088-4204
(478) 225-9983
(478) 225-9891
Mailing address
130 HOSPITAL DR, WARNER ROBINS, GA 31088-4204
(478) 225-9983
(478) 225-9981
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
052234
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
052234
GA
207RN0300X
Nephrology Physician
Primary
052234
GA
Other
Enumeration date
04/28/2008
Last updated
11/07/2016
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