Organization
KIDNEY SPECIALISTS OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNAMDI KELECHI NWAOHIRI MD (MEDICAL DIRECTOR)
(443) 616-4122
Entity
Organization
Contact information
Practice address
575 PROFESSIONAL DR STE 290, LAWRENCEVILLE, GA 30046-3347
(770) 417-8170
(770) 417-8169
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 714-7155
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
01/17/2020
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