Organization
NEPHROLOGY INC
Active
Other names
Kidney Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL GIVENS (AUTHORIZED OFFICIAL)
(770) 304-3724
Entity
Organization
Contact information
Practice address
1425 HIGHWAY 34 E, NEWNAN, GA 30265-1323
(770) 304-3724
(770) 304-3726
Mailing address
1425 HIGHWAY 34 E, NEWNAN, GA 30265-1323
(770) 304-3724
(770) 304-3726
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
048905
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300044734C
—
GA
Enumeration date
10/22/2007
Last updated
10/31/2022
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