Organization
NEPHROLOGY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THET NAING ZAW MD (CEO)
(703) 928-1515
Entity
Organization
Contact information
Practice address
2012 OCILLA RD, DOUGLAS, GA 31533-2230
(912) 384-7210
(912) 384-5130
Mailing address
1001 WARD ST W, DOUGLAS, GA 31533-2263
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072948
GA STATE MEDICAL LICENSE
GA
Enumeration date
10/02/2018
Last updated
01/30/2025
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