Organization
EASTSIDE PREMIER NEPHROLOGY & HYPERTENSION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLADAPO FALASE (OFFICE MANAGER)
(678) 413-3261
Entity
Organization
Contact information
Practice address
1612 MILSTEAD RD NE, SUITE A, CONYERS, GA 30012-3738
(678) 413-3261
(678) 413-3580
Mailing address
PO BOX 1157, COVINGTON, GA 30015-1157
(678) 413-3261
(678) 413-3580
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
044714
GA
Other
Enumeration date
05/03/2007
Last updated
03/22/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up