Organization
GWINNETT NEPHROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JITHENDRANATH REDDY PALACHERLA MD (MD/OWNER)
(470) 310-3179
Entity
Organization
Contact information
Practice address
1567 JANMAR RD STE 100, SNELLVILLE, GA 30078-0308
(470) 310-3179
Mailing address
1567 JANMAR RD STE 100, SNELLVILLE, GA 30078-0308
(470) 310-3179
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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